Organization
LULUMAFUIE FIATOA, M.D. LLC
Active
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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