MEDICARE: HONOLULU SURGERY CENTER LP

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
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1952366874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONOLULU SURGERY CENTER LP

Provider Business Mailing Address
First Line	:	500 ALA MOANA BLVD
Second Line	:	TOWER 1 SUITE 1B
City	:	HONOLULU
State	:	HI
Zip	:	96813-4920
Country	:	US
Telephone Number	:	808-528-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 ALA MOANA BLVD
Second Line	:	TOWER 1 SUITE 1B
City	:	HONOLULU
State	:	HI
Zip	:	96813-4920
Country	:	US
Telephone Number	:	808-528-2511
Fax Number	:

Authorized Official
Title or Position	:	EVP & CFO
Name	:	DAVID Y OKABE
Credential	:
Telephone Number	:	808-535-7202

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	05/03/2021

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