Provider Demographics
NPI:1568021541
Name:IMASA, ARCELITA C (MD)
Entity Type:Individual
Prefix:
First Name:ARCELITA
Middle Name:C
Last Name:IMASA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ELIZABETH WELCH-FAMILY MEDICINE RESIDENCY PROGRAM
Mailing Address - Street 2:THE PHYSICIAN CENTER, 95-390 KUAHELANI AVENUE
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4807
Mailing Address - Country:US
Mailing Address - Phone:808-627-3254
Mailing Address - Fax:
Practice Address - Street 1:95-390 KUAHELANI AVE # J1
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1192
Practice Address - Country:US
Practice Address - Phone:808-627-3254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR-7686207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine