Provider Demographics
NPI:1225816127
Name:GALEN Y.K. CHOCK, M.D., INC.
Entity Type:Organization
Organization Name:GALEN Y.K. CHOCK, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:YK
Authorized Official - Last Name:CHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-521-6030
Mailing Address - Street 1:1380 LUSITANA ST STE 501
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2441
Mailing Address - Country:US
Mailing Address - Phone:808-521-6030
Mailing Address - Fax:808-521-6273
Practice Address - Street 1:1380 LUSITANA ST STE 501
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2441
Practice Address - Country:US
Practice Address - Phone:808-521-6030
Practice Address - Fax:808-521-6273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty