Healthcare Provider Details

I. General information

NPI: 1366355133
Provider Name (Legal Business Name): JULIETA C CAMBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-482 ALAPINE ST
WAIPAHU HI
96797-4503
US

IV. Provider business mailing address

94-482 ALAPINE ST
WAIPAHU HI
96797-4503
US

V. Phone/Fax

Practice location:
  • Phone: 808-398-4766
  • Fax:
Mailing address:
  • Phone: 808-398-4766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberH00227309
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: