Organization · Type 2 NPI

Russell G Tacata MD

Clinic/Center · Honolulu, HI

NPI number 1831872126 Active

Practice location

1619 Liliha St Ste 3
Honolulu, HI 96817-3152

Call (808) 531-5454 Map

Fax (808) 531-5451

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1831872126

Russell G Tacata MD's National Provider Identifier is 1831872126, issued on Aug 11, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Honolulu, HI. The record was last updated on Aug 11, 2023.