SUNNYSIDE MEDICAL CLINIC LLC NPI 1407362395

NPI Information

NPI: 1407362395
Provider Name: SUNNYSIDE MEDICAL CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1005 KEOLU DR STE A
KAILUA, HI
ZIP 96734
Phone: (808) 727-1715
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SUNNYSIDE MEDICAL CLINIC LLC is a primary care clinic center in Kailua, HI. SUNNYSIDE MEDICAL CLINIC LLC NPI is 1407362395. The provider is registered as an organization entity type.

The provider's business location address is:

1005 KEOLU DR STE A
KAILUA, HI
ZIP 96734-873
Phone: (808) 727-1715

The provider's authorized official is Michelle Shanks .
The authorized official title is Owner and has the following contact phone number (808) 825-0190.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261Q00000X	Clinic/Center		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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