Provider Demographics
NPI:1235610007
Name:OHANA BREASTFEEDING AND NUTRITION
Entity Type:Organization
Organization Name:OHANA BREASTFEEDING AND NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIHOKO
Authorized Official - Middle Name:MUNAKATA
Authorized Official - Last Name:YACAVONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, IBCLC
Authorized Official - Phone:808-561-3239
Mailing Address - Street 1:833 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3613
Mailing Address - Country:US
Mailing Address - Phone:808-561-3239
Mailing Address - Fax:
Practice Address - Street 1:833 15TH AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3613
Practice Address - Country:US
Practice Address - Phone:808-561-3239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI180-LD133V00000X
VAL-125869174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty