Provider Demographics
NPI:1255612214
Name:CARL K YORITA M D INC
Entity type:Organization
Organization Name:CARL K YORITA M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:K
Authorized Official - Last Name:YORITA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-593-2510
Mailing Address - Street 1:1010 S KING ST STE 801
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1759
Mailing Address - Country:US
Mailing Address - Phone:808-593-2510
Mailing Address - Fax:
Practice Address - Street 1:1010 S KING ST STE 801
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1759
Practice Address - Country:US
Practice Address - Phone:808-593-2510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-05
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD2326174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty