Provider Demographics
NPI:1427562446
Name:TOKUHARA ACUPUNCTURE AND HEALTHCARE LLC
Entity Type:Organization
Organization Name:TOKUHARA ACUPUNCTURE AND HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOKUHARA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:808-676-0663
Mailing Address - Street 1:94-310 WAIPAHU DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3071
Mailing Address - Country:US
Mailing Address - Phone:808-676-0663
Mailing Address - Fax:808-676-0663
Practice Address - Street 1:94-310 WAIPAHU DEPOT ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3071
Practice Address - Country:US
Practice Address - Phone:808-676-0663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-656171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty