| NPI | 1467756536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MICHIKO CAMACHO Physician 808-935-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: HI MD9518) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-04-18 |