| NPI | 1902959190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI CASTEL Officer/Authorized Official 808-772-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD pending) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-05-02 |