Organization · Type 2 NPI
Island Functional Medicine LLC
Primary Care Clinic/Center · Kapolei, HI
NPI number
1396355616
Active
Practice location
2176 Lauwiliwili St Ste 12
Kapolei, HI 96707-1882
Fax (808) 465-3574
Mailing address
92-1535 Aliinui Dr # 6B
Kapolei, HI 96707-2223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Kapolei
About NPI 1396355616
Island Functional Medicine LLC's National Provider Identifier is 1396355616, issued on Aug 1, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Kapolei, HI. The record was last updated on Aug 1, 2020.