Organization
IMI OLA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL THOMAS MATTOX PMHNP-BC (OWNER)
(626) 848-6670
Entity
Organization
Contact information
Practice address
500 ALA MOANA BLVD STE 7400, HONOLULU, HI 96813-4902
(808) 518-4426
Mailing address
500 ALA MOANA BLVD STE 7400, HONOLULU, HI 96813-4902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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