Organization
KONA AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELI OKA MD (MEDICAL DIRECTOR)
(808) 329-8311
Entity
Organization
Contact information
Practice address
75-5905 WALUA RD, KAILUA KONA, HI 96740-1375
(808) 329-8311
Mailing address
PO BOX 4441, KAILUA KONA, HI 96745-4441
(808) 329-8311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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