Organization
GABRIELA ORTIZ-OMPHROY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELA MARIA ORTIZ-OMPHROY M.D. (PHYSICIAN)
(808) 487-7700
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD STE 680, AIEA, HI 96701-4725
(808) 487-7700
(808) 488-4151
Mailing address
98-1079 MOANALUA RD STE 680, AIEA, HI 96701-4725
(808) 487-7700
(808) 488-4151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10244
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53927313
—
HI
Enumeration date
07/23/2007
Last updated
07/23/2007
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