| NPI | 1225329329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK Y LIU CEO 808-224-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |