# KONA AMBULATORY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1336378033
- **Authorized official:** LORELI OKA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (808) 329-8311

## Contact information

- **Practice address:** 75-5905 WALUA RD, KAILUA KONA, HI 96740-1375
- **Practice address phone:** (808) 329-8311
- **Mailing address:** PO BOX 4441, KAILUA KONA, HI 96745-4441
- **Mailing address phone:** (808) 329-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009