Organization
KAHALA PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DEZZANI (MANAGER)
(808) 735-5541
Entity
Organization
Contact information
Practice address
4747 KILAUEA AVE, #202, HONOLULU, HI 96816-5308
(808) 735-5541
Mailing address
1808 KANAKANUI ST, HONOLULU, HI 96819-3224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 10106
HI
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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