Healthcare Provider Details

I. General information

NPI: 1295174175
Provider Name (Legal Business Name): NOELANI C HOBBS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-216 PUPUKAHI ST
WAIPAHU HI
96797-2606
US

IV. Provider business mailing address

94-216 PUPUKAHI ST
WAIPAHU HI
96797-2606
US

V. Phone/Fax

Practice location:
  • Phone: 808-741-3788
  • Fax:
Mailing address:
  • Phone: 808-671-2802
  • Fax: 808-762-1584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-9928
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-18886
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: