Provider Demographics
NPI:1992032015
Name:INSTITUTE OF CLINICAL ACUPUNCTURE AND ORIENTAL MEDICINE
Entity Type:Organization
Organization Name:INSTITUTE OF CLINICAL ACUPUNCTURE AND ORIENTAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WAI HOA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, MBA, LAC
Authorized Official - Phone:808-521-2288
Mailing Address - Street 1:100 N BERETANIA ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4712
Mailing Address - Country:US
Mailing Address - Phone:808-521-2288
Mailing Address - Fax:808-521-2271
Practice Address - Street 1:100 N BERETANIA ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4712
Practice Address - Country:US
Practice Address - Phone:808-521-2288
Practice Address - Fax:808-521-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 407171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty