Organization
HAWAII PERMANENTE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER B. STEFANELLI MD (ASST. MED DIRECTOR BUSINESS SVCS)
(808) 432-0000
Entity
Organization
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B000916-3
HMSA PROVIDER NUMBER
HI
Enumeration date
05/03/2006
Last updated
08/12/2021
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