Provider Demographics
NPI:1912415977
Name:AARON H. MORITA, M.D., F.A.C.P., INC.
Entity Type:Organization
Organization Name:AARON H. MORITA, M.D., F.A.C.P., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORITA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-935-5411
Mailing Address - Street 1:670 PONAHAWAI ST STE 223
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7829
Mailing Address - Country:US
Mailing Address - Phone:808-935-5411
Mailing Address - Fax:808-935-5413
Practice Address - Street 1:670 PONAHAWAI ST STE 223
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7829
Practice Address - Country:US
Practice Address - Phone:808-935-5411
Practice Address - Fax:808-935-5413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1568405058OtherNATIONAL PROVIDER NUMBER
HIMD4969OtherSTATE MEDICAL LICENSE
00D0017865OtherHAWAII MEDICAL SERVICE ASSOCIATION (HMSA)
HI016697Medicaid
12D0688878OtherCLIA
12D0688878OtherCLIA