Individual
DR. JAIME WONG-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MCBH KANEOHE BAY BRANCH HEALTH CLINIC, 6905 HARRIS AVENUE, KAILUA, HI 96734
(808) 496-4478
Mailing address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246156
VA
208D00000X
General Practice Physician
0101246156
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2007
Last updated
07/16/2025
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