Provider Demographics
NPI:1760953459
Name:DR. AU LLC
Entity Type:Organization
Organization Name:DR. AU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NALU
Authorized Official - Last Name:AU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-392-2505
Mailing Address - Street 1:75-184 HUALALAI RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1719
Mailing Address - Country:US
Mailing Address - Phone:808-392-2505
Mailing Address - Fax:808-329-0449
Practice Address - Street 1:75-184 HUALALAI RD STE 200
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1719
Practice Address - Country:US
Practice Address - Phone:808-392-2505
Practice Address - Fax:808-329-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)