Healthcare Provider Details

I. General information

NPI: 1306830476
Provider Name (Legal Business Name): CORAZON C HOBBS-OSHIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 07/08/2007
Certification Date:
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: 808-671-2802
  • Fax: 808-671-2802
Mailing address:
  • Phone: 808-671-2802
  • Fax: 808-671-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2329
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: