Provider Demographics
NPI:1801397450
Name:FALLER, MICHELE YURIKO OKA
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:YURIKO OKA
Last Name:FALLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:YURIKO
Other - Last Name:OKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 KAMOKILA BLVD STE 355
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 KAMOKILA BLVD STE 355
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2035
Practice Address - Country:US
Practice Address - Phone:808-692-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator