Provider Demographics
NPI:1780924373
Name:RIM, ISAAC (PHD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:RIM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:DAEHEE
Other - Middle Name:
Other - Last Name:RIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1080 ALA NAPUNANI ST APT 215
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1785
Mailing Address - Country:US
Mailing Address - Phone:808-308-9660
Mailing Address - Fax:
Practice Address - Street 1:1750 KALAKAUA AVE STE 204C
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3757
Practice Address - Country:US
Practice Address - Phone:808-308-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU833171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist