# DAVE MITSUNAGA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053654368
- **Authorized official:** DAVE MITSUNAGA M.D. (OWNER)
- **Authorized official phone:** (808) 224-5848

## Contact information

- **Practice address:** 1627 HANAI LOOP, HONOLULU, HI 96817-1803
- **Practice address phone:** (808) 536-0300
- **Mailing address:** PO BOX 25490, HONOLULU, HI 96825-0490
- **Mailing address phone:** (808) 536-0300
- **Mailing address fax:** (808) 536-0320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD-5774 | HI | Yes |

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 04/04/2013