Organization
LULUMAFUIE FIATOA, M.D. LLC
Active
Other names
Mana Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LULUMAFUIE FIATOA MD (OWNER)
(808) 779-1169
Entity
Organization
Contact information
Practice address
94-307 FARRINGTON HWY, B-01, WAIPAHU, HI 96797-2565
(808) 847-0487
Mailing address
PO BOX 17793, HONOLULU, HI 96817-0793
(808) 779-1169
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD5016
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J0018448
HMSA PROVIDER NUMBER
—
05
—
01723602
—
HI
Enumeration date
09/10/2014
Last updated
09/10/2014
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