# HALE MAKUA HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HALE MAKUA PHYSICIAN SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982141180
- **Authorized official:** WESLEY LO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (808) 877-2761

## Contact information

- **Practice address:** 472 KAULANA ST, KAHULUI, HI 96732-2050
- **Practice address phone:** (808) 877-2761
- **Mailing address:** 472 KAULANA ST, KAHULUI, HI 96732-2050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 03/23/2017