Organization
ALOHA EYE CLINIC SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIVIN GERARD TANTISIRA MD (MEMBER)
(808) 877-3984
Entity
Organization
Contact information
Practice address
450 HOOKAHI STREET, WAILUKU, HI 96793
(808) 877-3984
(808) 871-6498
Mailing address
450 HOOKAHI STREET, WAILUKU, HI 96793
(808) 877-3984
(808) 871-6498
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2015
Last updated
04/29/2025
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