Healthcare Provider Details

I. General information

NPI: 1821149691
Provider Name (Legal Business Name): HOBBS MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 03/26/2015
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: 808-671-2803
Mailing address:
  • Phone: 808-671-2802
  • Fax: 808-671-2803

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: MRS. CORAZON CADIZ HOBBS OSHIRO
Title or Position: PRESIDENT
Credential: MD
Phone: 808-671-2802