Provider Demographics
NPI:1720359953
Name:SYDNALEX
Entity Type:Organization
Organization Name:SYDNALEX
Other - Org Name:ANIMAL CLINIC OF HONOLULU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEARA
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:808-734-0255
Mailing Address - Street 1:1048 KOKO HEAD AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3764
Mailing Address - Country:US
Mailing Address - Phone:808-734-0255
Mailing Address - Fax:808-735-1937
Practice Address - Street 1:1048 KOKO HEAD AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3764
Practice Address - Country:US
Practice Address - Phone:808-734-0255
Practice Address - Fax:808-735-1937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI609284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital