Provider Demographics
NPI:1154473270
Name:HUGO HIGA, MD, LLC
Entity Type:Organization
Organization Name:HUGO HIGA, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-677-7727
Mailing Address - Street 1:PO BOX 1120
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96807-1120
Mailing Address - Country:US
Mailing Address - Phone:808-677-7727
Mailing Address - Fax:808-677-1130
Practice Address - Street 1:98-1079 MOANALUA RD STE 660
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4721
Practice Address - Country:US
Practice Address - Phone:808-677-7727
Practice Address - Fax:808-677-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 7972-01207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH56812Medicare ID - Type Unspecified