=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336384304
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONCARE HAWAII INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2008
-----------------------------------------------------
Last Update Date | 10/05/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 ALA MOANA BLVD STE 6-230
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-4929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-524-6115
-----------------------------------------------------
Fax | 808-528-1711
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 ALA MOANA BLVD STE 6230
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-4929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-524-6115
-----------------------------------------------------
Fax | 808-528-1711
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | MR. ARNOLD K.N. YEE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 808-524-6115
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN 592
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------