Organization
MALAMA KIDNEY CENTER, LLC
Active
Parent organization
PMAG CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMAG CARE, INC
Authorized official
GREGG SHIMOMURA MD (MEDICAL DIRECTOR)
(808) 942-1852
Entity
Organization
Contact information
Practice address
1357 KAPIOLANI BLVD STE 1460, HONOLULU, HI 96814-4509
(808) 942-1852
(808) 943-8732
Mailing address
1357 KAPIOLANI BLVD STE 1460, HONOLULU, HI 96814-4509
(808) 942-1852
(808) 943-8732
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
09/27/2022
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