Provider Demographics
NPI:1619234820
Name:LELAND H. DAO, D.O. INC
Entity Type:Organization
Organization Name:LELAND H. DAO, D.O. INC
Other - Org Name:KAENA KAI CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:8086-378-4176
Mailing Address - Street 1:66-150 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-1440
Mailing Address - Country:US
Mailing Address - Phone:808-637-8416
Mailing Address - Fax:
Practice Address - Street 1:66-150 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-1440
Practice Address - Country:US
Practice Address - Phone:808-637-8416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LELAND H. DAO, D.O. INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-12
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS775261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI51549Medicare PIN