Organization
VIJAK AYASANONDA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAK S. AYASANONDA MD (PRESIDENT)
(808) 589-1391
Entity
Organization
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2290
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-13293
HI
Other
Enumeration date
01/10/2008
Last updated
07/24/2009
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