Manoa Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13732 Issued in HI

Legal business name

MANOA FAMILY MEDICINE, LLC

Doing business as

Manoa Family Medicine Group

Practice address

2756 Woodlawn Dr
Suite 6-202
Honolulu, HI 96822-1856

Phone

(808) 988-8700

Fax

(808) 988-1806

NPI assigned

Jun 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Kyu-Hong Jun, MD

Title

Partner

Phone

(808) 988-8700

Specialties & licenses 2

Addresses

Other names 1

• Manoa Family Medicine Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1093911463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 WOODLAWN DR",
            "address_2": "SUITE 6-202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221856",
            "telephone_number": "808-988-8700",
            "fax_number": "808-988-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 WOODLAWN DR",
            "address_2": "SUITE 6-202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221856",
            "telephone_number": "808-988-8700",
            "fax_number": "808-988-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOA FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KYU-HONG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "808-988-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "13732",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "13989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manoa Family Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Dianne Manning
• Brian J. Mannino, M.D.
• Manoa Elder Care, L.L.C. (Manoa Senior Care)
• Manoa Elder Care, L.L.C. (Manoa Senior Care)
• Manoa Elder Care, L.L.C. (Manoa Senior Care)
• Manoa Family Practice LLC
• Manoa Senior Care, LLC (Manoa Senior Care)
• Manoa Senior Living LLC (Laura Jackson ARCH)
• Manoa Therapeutic Center
• Manoasta Inc

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.