# SOMA CLINIC LLC

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

## Provider details

- **NPI number:** 1194415935
- **Authorized official:** DR. YOICHI SOMA MD (MEMBER)
- **Authorized official phone:** (808) 722-4135

## Contact information

- **Practice address:** 2155 KALAKAUA AVE STE 112, HONOLULU, HI 96815-2354
- **Practice address phone:** (808) 358-2182
- **Practice address fax:** (808) 900-5797
- **Mailing address:** 2155 KALAKAUA AVE STE 112, HONOLULU, HI 96815-2354
- **Mailing address phone:** (808) 358-2182
- **Mailing address fax:** (808) 900-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/12/2023
- **Last updated:** 05/12/2023