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Organization

MAKALOA MEDICAL CLINIC CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YUN SUK HONG (CHIEF EXECUTIVE OFFICER)
(808) 979-6930
Entity
Organization

Contact information

Practice address
1670 MAKALOA ST STE 201, HONOLULU, HI 96814-3232
(808) 979-6930
Mailing address
1670 MAKALOA ST STE 201, HONOLULU, HI 96814-3232
(808) 979-6930

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
363L00000X
Nurse Practitioner
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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