# HAWAII CARE CONNECT MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1902300056
- **Authorized official:** LORETTA UBANTE RN (CEO)
- **Authorized official phone:** (808) 439-4729

## Contact information

- **Practice address:** 94-356 WAIPAHU DEPOT ST STE 204, WAIPAHU, HI 96797-3057
- **Practice address phone:** (808) 439-4729
- **Mailing address:** 94-356 WAIPAHU DEPOT ST STE 204, WAIPAHU, HI 96797-3057
- **Mailing address phone:** (808) 439-4729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 03/22/2018