| Island Functional Medicine Llc | |
|
2176 Lauwiliwili St Ste 12 Kapolei HI 96707-1882 | |
| (808) 465-3000 | |
| (808) 465-3574 |
| Full Name | Island Functional Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2176 Lauwiliwili St Ste 12, Kapolei, Hawaii |
| Authorized Official Name and Position | Kalin Suzuki (OWNER) |
| Authorized Official Contact | 8083521680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Functional Medicine Llc 92-1535 Aliinui Dr # 6b Kapolei HI 96707-2223 Ph: (808) 352-1680 | Island Functional Medicine Llc 2176 Lauwiliwili St Ste 12 Kapolei HI 96707-1882 Ph: (808) 465-3000 |
| NPI Number | 1396355616 |
|---|---|
| Provider Enumeration Date | 08/01/2020 |
| Last Update Date | 08/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396355616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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