Organization
WAVES OF ALOHA LLC
Active
Other names
Phiten Hawaii
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHIYUKI NOMURA (VICE PRESIDENT/OWNER)
(310) 988-9190
Entity
Organization
Contact information
Practice address
94-416 UKEE ST STE 103, WAIPAHU, HI 96797-4463
(310) 988-9190
Mailing address
94-416 UKEE ST STE 103, WAIPAHU, HI 96797-4463
(310) 988-9190
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
302R00000X
Health Maintenance Organization
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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