# GABRIELA ORTIZ-OMPHROY MD LLC

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

## Provider details

- **NPI number:** 1285994525
- **Authorized official:** DR. GABRIELA M ORTIZ-OMPHROY M.D. (OWNER)
- **Authorized official phone:** (808) 488-4342

## Contact information

- **Practice address:** 98-1079 MOANALUA RD STE 680, AIEA, HI 96701-4725
- **Practice address phone:** (808) 488-4342
- **Practice address fax:** (808) 488-4151
- **Mailing address:** 98-1079 MOANALUA RD STE 680, AIEA, HI 96701-4725
- **Mailing address phone:** (808) 488-4342
- **Mailing address fax:** (808) 488-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12351 | HI | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 08/30/2012