Healthcare Provider Details

I. General information

NPI: 1740349869
Provider Name (Legal Business Name): QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 FARRINGTON HWY SUITE 201
KAPOLEI HI
96707-2001
US

IV. Provider business mailing address

1099 ALAKEA ST SUITE 1100
HONOLULU HI
96813-4511
US

V. Phone/Fax

Practice location:
  • Phone: 808-674-9500
  • Fax: 808-674-9436
Mailing address:
  • Phone: 808-547-4600
  • Fax: 808-547-4559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LESLIE CHINEN
Title or Position: PRESIDENT
Credential:
Phone: 808-547-4264