Provider Demographics
NPI:1609124221
Name:ALULI AND REYES LLP
Entity Type:Organization
Organization Name:ALULI AND REYES LLP
Other - Org Name:MOLOKAI FAMILY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOA
Authorized Official - Middle Name:EMMETT
Authorized Official - Last Name:ALULI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-553-5353
Mailing Address - Street 1:P.O. BOX 1100
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-1100
Mailing Address - Country:US
Mailing Address - Phone:808-553-5353
Mailing Address - Fax:808-553-4269
Practice Address - Street 1:39 ALA MALAMA ST.
Practice Address - Street 2:
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748-1100
Practice Address - Country:US
Practice Address - Phone:808-553-5353
Practice Address - Fax:808-553-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD2879HI207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03733301Medicaid
HI03733301Medicaid
0000BDMDFMedicare PIN