Healthcare Provider Details

I. General information

NPI: 1922962950
Provider Name (Legal Business Name): PILINA HEALTH RESOURCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-342 HANAWAI CIR
WAIPAHU HI
96797-3003
US

IV. Provider business mailing address

94-342 HANAWAI CIR
WAIPAHU HI
96797-3003
US

V. Phone/Fax

Practice location:
  • Phone: 808-753-9528
  • Fax:
Mailing address:
  • Phone: 808-753-9528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: DELSIE SMITH GOMABON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 808-675-6368