Provider Demographics
NPI:1952043291
Name:STEPHEN S. YANO, M.D., INC.
Entity Type:Organization
Organization Name:STEPHEN S. YANO, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOCK-SAIKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-488-8441
Mailing Address - Street 1:99-128 AIEA HEIGHTS DR STE 211
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3972
Mailing Address - Country:US
Mailing Address - Phone:808-488-8441
Mailing Address - Fax:808-200-3790
Practice Address - Street 1:99-128 AIEA HEIGHTS DR STE 211
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3972
Practice Address - Country:US
Practice Address - Phone:808-488-8441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1043256530Medicaid