Healthcare Provider Details

I. General information

NPI: 1013625482
Provider Name (Legal Business Name): ALOHA FOOT CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 PIIKEA AVE
KIHEI HI
96753-8268
US

IV. Provider business mailing address

407 ULUNIU ST STE 107
KAILUA HI
96734-2530
US

V. Phone/Fax

Practice location:
  • Phone: 808-266-0066
  • Fax: 808-263-6004
Mailing address:
  • Phone: 808-266-0066
  • Fax: 808-263-6004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: SANDRA AU
Title or Position: OWNER
Credential: DPM
Phone: 808-266-0066