Healthcare Provider Details

I. General information

NPI: 1912880287
Provider Name (Legal Business Name): OHANA URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 S PUUNENE AVE STE 108
KAHULUI HI
96732-2192
US

IV. Provider business mailing address

PO BOX 700127
KAPOLEI HI
96709-0127
US

V. Phone/Fax

Practice location:
  • Phone: 808-949-9585
  • Fax: 808-748-3311
Mailing address:
  • Phone: 808-782-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDI TSUMOTO
Title or Position: MD
Credential: MD
Phone: 808-782-3311