Provider Demographics
NPI:1306225495
Name:OPALIA, ROBIN VICTOR
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:VICTOR
Last Name:OPALIA
Suffix:
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 1:2415 BINGHAM ST
Mailing Address - Street 2:B
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1515
Mailing Address - Country:US
Mailing Address - Phone:808-485-7288
Mailing Address - Fax:
Practice Address - Street 1:2415 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1515
Practice Address - Country:US
Practice Address - Phone:808-485-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-22
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health