Healthcare Provider Details

I. General information

NPI: 1932989951
Provider Name (Legal Business Name): OHANA INTEGRATIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430B OKA ST
KILAUEA HI
96754-5332
US

IV. Provider business mailing address

PO BOX 328
ANAHOLA HI
96703-0328
US

V. Phone/Fax

Practice location:
  • Phone: 541-404-4481
  • Fax: 808-698-6327
Mailing address:
  • Phone: 808-639-8441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL A APUNA
Title or Position: CO-OWNER/CFO
Credential:
Phone: 808-639-8441