Provider Demographics
NPI:1245758549
Name:JOSEPHINE P. HORITA, D.O. LLC
Entity Type:Organization
Organization Name:JOSEPHINE P. HORITA, D.O. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD AND ADOLESCENT PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HORITA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:808-234-9993
Mailing Address - Street 1:1842 MAHANA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2995
Mailing Address - Country:US
Mailing Address - Phone:808-234-9993
Mailing Address - Fax:
Practice Address - Street 1:4211 WAIALAE AVE STE 208
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5312
Practice Address - Country:US
Practice Address - Phone:808-542-7349
Practice Address - Fax:808-732-6433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-1267261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health