| NPI | 1255769303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG DICH LAI President 808-537-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: HI MD6970) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |