=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124202742
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM K. MORIOKA, M.D., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2007
-----------------------------------------------------
Last Update Date | 12/18/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 N KUAKINI ST 501
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96817-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-521-0330
-----------------------------------------------------
Fax | 808-521-0341
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 321 N KUAKINI ST 501
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96817-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-521-0330
-----------------------------------------------------
Fax | 808-521-0341
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | WILLIAM K. MORIOKA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 808-521-0330
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------