Provider Demographics
NPI:1457135477
Name:HANA HOU HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:HANA HOU HEALTHCARE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-646-7500
Mailing Address - Street 1:1712 LILIHA ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5409
Mailing Address - Country:US
Mailing Address - Phone:808-646-7500
Mailing Address - Fax:808-847-8215
Practice Address - Street 1:1712 LILIHA ST STE 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5409
Practice Address - Country:US
Practice Address - Phone:808-646-7500
Practice Address - Fax:808-847-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty