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NPI Code Detail

MEDICARE: YASUSHI JOHN HORI M.D.

MEDICARE: YASUSHI JOHN HORI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD-10758HI

General Provider Information

NPI Number : 1255437232
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASUSHI JOHN HORI M.D.
Provider Business Mailing Address
First Line : 2155 KALAKAUA AVE
Second Line : SUITE 308
City : HONOLULU
State : HI
Zip : 96815-2351
Country : US
Telephone Number : 808-924-3399
Fax Number : 808-923-7606
Provider Business Practice Location Address
First Line : 2155 KALAKAUA AVE
Second Line : SUITE 308
City : HONOLULU
State : HI
Zip : 96815-2351
Country : US
Telephone Number : 808-924-3399
Fax Number : 808-923-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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