Provider Demographics
NPI:1043806904
Name:HIOKI, RICHARD T JR
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:T
Last Name:HIOKI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-307 FARRINGTON HWY., SUITE A-09
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2500
Mailing Address - Country:US
Mailing Address - Phone:808-294-3189
Mailing Address - Fax:808-888-6058
Practice Address - Street 1:94-307 FARRINGTON HWY., SUITE A-09
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2500
Practice Address - Country:US
Practice Address - Phone:808-294-3189
Practice Address - Fax:808-888-6058
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI000218Medicaid