Healthcare Provider Details

I. General information

NPI: 1831093038
Provider Name (Legal Business Name): ASHLEY LAA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92-1700 KUNIA RD UNIT 737
KUNIA HI
96759-5000
US

IV. Provider business mailing address

PO BOX 176
KUNIA HI
96759-0176
US

V. Phone/Fax

Practice location:
  • Phone: 808-425-1722
  • Fax:
Mailing address:
  • Phone: 808-425-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberH00435262
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: