Organization
SLEEP CENTER HAWAII LLC
Active
Other names
Hawaii Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIVINA MESA RPSGT (GENERAL MANAGER)
(671) 647-6669
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 101, AIEA, HI 96701-3916
(808) 456-7378
(808) 483-8822
Mailing address
99-128 AIEA HEIGHTS DR STE 101, AIEA, HI 96701-3916
(808) 456-7378
(808) 483-8822
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD13641
HI
2084N0400X
Neurology Physician
MD13641
HI
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
MD13641
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HI012A
MEDICARE
HI
Enumeration date
03/23/2008
Last updated
07/28/2020
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