Provider Demographics
NPI:1851059760
Name:WORKCOMP HAWAII LLC
Entity Type:Organization
Organization Name:WORKCOMP HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:ICHIRO
Authorized Official - Last Name:IZUTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-226-3267
Mailing Address - Street 1:1007 IKENA CIR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2557
Mailing Address - Country:US
Mailing Address - Phone:808-226-3267
Mailing Address - Fax:
Practice Address - Street 1:50 S BERETANIA ST STE C201A-1
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2208
Practice Address - Country:US
Practice Address - Phone:808-772-4995
Practice Address - Fax:808-206-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty