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Organization
SLEEP CENTER HAWAII LLC
Active
Organization
SLEEP CENTER HAWAII LLC
Active
Other names
Hawaii Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIVINA MESA RPSGT (GENERAL MANAGER)
(671) 647-6669
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 101, AIEA, HI 96701-3916
(808) 456-7378
(808) 483-8822
Mailing address
99-128 AIEA HEIGHTS DR STE 101, AIEA, HI 96701-3916
(808) 456-7378
(808) 483-8822
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD13641
HI
2084N0400X
Neurology Physician
MD13641
HI
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
MD13641
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HI012A
MEDICARE
HI
Enumeration date
03/23/2008
Last updated
07/28/2020
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