Organization
KE OLA PONO OHANA FAMILY MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE M PAYANAL M.D. (CEO)
(808) 536-0300
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 505, AIEA, HI 96701-3925
(808) 536-0300
(808) 536-0320
Mailing address
848 S BERETANIA ST, SUITE 400, HONOLULU, HI 96813-2551
(808) 536-0300
(808) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD - 18089
HI
Other
Enumeration date
06/25/2015
Last updated
08/17/2015
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