Provider Demographics
NPI:1508011214
Name:CLAUDETTE H. OZOA, PH.D. LLC
Entity Type:Organization
Organization Name:CLAUDETTE H. OZOA, PH.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:HARUKO
Authorized Official - Last Name:OZOA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-284-3601
Mailing Address - Street 1:4348 WAIALAE AVE # 403
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-284-3601
Mailing Address - Fax:888-668-8527
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 1208
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-734-2897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-751251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH54660Medicare PIN