NPI 1063575892

Samantha LLC

Organisation Primary Care Clinic/Center Kailua Kona, HI

Practice location

Address: 75-5995 Kuakini Hwy Suite 445, Kailua Kona, HI 96740-2144
Phone: (808) 326-2873
Fax: (808) 326-9530

Authorised official

Name: Mary Jane Sunga Castro
Title: Physician Member
Phone: (808) 326-2873

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 11969 (HI)

Other Clinic/Center providers in Hawaii →

Registry record

NPI: 1063575892
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.