Healthcare Provider Details

I. General information

NPI: 1760532832
Provider Name (Legal Business Name): OHANA-HALE ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 OLINDA RD
MAKAWAO HI
96768-7115
US

IV. Provider business mailing address

1250 OLINDA RD
MAKAWAO HI
96768-7115
US

V. Phone/Fax

Practice location:
  • Phone: 808-572-9862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number107
License Number StateHI

VIII. Authorized Official

Name: DR. KABBA ANAND
Title or Position: PRESIDENT
Credential: D.AC.
Phone: 808-572-9862