Organization
GABRIELA ORTIZ-OMPHROY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELA M ORTIZ-OMPHROY M.D. (OWNER)
(808) 488-4342
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD STE 680, AIEA, HI 96701-4725
(808) 488-4342
(808) 488-4151
Mailing address
98-1079 MOANALUA RD STE 680, AIEA, HI 96701-4725
(808) 488-4342
(808) 488-4151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12351
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53927313
—
HI
Enumeration date
05/21/2012
Last updated
08/30/2012
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