Organization
HANA HOU MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY VU (AUTHORIZED REPRESENTATIVE)
(510) 892-2400
Entity
Organization
Contact information
Practice address
1712 LILIHA ST STE 102, HONOLULU, HI 96817-5409
(808) 646-7500
Mailing address
1110 NUUANU AVE # 1112, HONOLULU, HI 96817-5119
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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