Organization
HANA PONO CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER CHUN (OWNER)
(808) 537-6688
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST STE 450, HONOLULU, HI 96814-1871
(808) 537-6688
Mailing address
1401 S BERETANIA ST STE 450, HONOLULU, HI 96814-1871
(808) 537-6688
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
05318
HI
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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