Provider Demographics
NPI:1871675918
Name:DAN S YOSHIOKA M.D. INC
Entity Type:Organization
Organization Name:DAN S YOSHIOKA M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOSHIOKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-947-1329
Mailing Address - Street 1:PO BOX 61624
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96839-1624
Mailing Address - Country:US
Mailing Address - Phone:808-947-1329
Mailing Address - Fax:
Practice Address - Street 1:1905 VANCOUVER DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2449
Practice Address - Country:US
Practice Address - Phone:808-947-1329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2233207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH004004-1OtherHMSA
HI03636501Medicaid
HIH004004-1OtherHMSA
HIC98992Medicare UPIN