Provider Demographics
NPI:1851010268
Name:REID S. HAMAMOTO M.D., LLC
Entity Type:Organization
Organization Name:REID S. HAMAMOTO M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-299-0071
Mailing Address - Street 1:942 ALA LEHUA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2302
Mailing Address - Country:US
Mailing Address - Phone:808-299-0071
Mailing Address - Fax:888-592-2998
Practice Address - Street 1:2040 NUUANU AVE APT 1506
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2514
Practice Address - Country:US
Practice Address - Phone:808-299-0071
Practice Address - Fax:888-592-2998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health