Individual
ELSA K. TSUTAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 KAMOKILA BLVD, KAPOLEI, HI 96707-5607
(808) 432-3600
Mailing address
401 KAMOKILA BLVD, KAPOLEI, HI 96707-5607
(808) 432-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A61609
CA
207Q00000X
Family Medicine Physician
Primary
MD-22163
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OOA616090
BLUE SHIELD
CA
05
—
OOA616090
—
CA
Enumeration date
11/04/2005
Last updated
07/22/2022
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