# SLEEP CENTER HAWAII LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hawaii Sleep Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154592772
- **Authorized official:** DIVINA MESA RPSGT (GENERAL MANAGER)
- **Authorized official phone:** (671) 647-6669

## Contact information

- **Practice address:** 99-128 AIEA HEIGHTS DR STE 101, AIEA, HI 96701-3916
- **Practice address phone:** (808) 456-7378
- **Practice address fax:** (808) 483-8822
- **Mailing address:** 99-128 AIEA HEIGHTS DR STE 101, AIEA, HI 96701-3916
- **Mailing address phone:** (808) 456-7378
- **Mailing address fax:** (808) 483-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD13641 | HI | — |
| 2084N0400X | Neurology Physician | MD13641 | HI | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | MD13641 | HI | Yes |

## Other

- **Enumeration date:** 03/23/2008
- **Last updated:** 07/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HI012A | MEDICARE | HI |