Charlie Y Sonido M D LLC

Organization Active NPI Internal Medicine Physician · Waipahu, HI

NPI 1154471126 · NPPES record last updated Dec 12, 2024

Key facts

NPI
1154471126
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
CHARLIE Y SONIDO M D LLC
Practice address
94-837 Waipahu St
Waipahu, HI 96797
Phone
(808) 671-3911
Fax
(808) 677-2720
NPI assigned
Jan 11, 2007
Organization subpart
No

Authorized official

Name
Connie Seronio
Title
Credentialing
Phone
(808) 690-3830

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040129001073 HI Part B Supplier - Clinic/Group Practice 8224931928 Receives reassigned benefits from 20 practitioners
Practice locations: Honolulu, HI; Waipahu, HI; Wahiawa, HI; Lihue, HI; Hilo, HI

National Provider Directory

Locations

1712 Liliha St
Ste 306
Honolulu, HI 96817
Phone (808) 524-1144

1712 Liliha St
Ste 202
Honolulu, HI 96817
Phone (808) 536-1754

1022 Gulick Ave
Honolulu, HI 96819
Phone (808) 847-4659

1807 N King St
Ste 101
Honolulu, HI 96819
Phone (808) 841-4195

1807 N King St
Honolulu, HI 96819
Phone (808) 841-4195

2119 N King St
Honolulu, HI 96819

302 California Ave
Ste 104
Wahiawa, HI 96786
Phone (808) 509-8212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X MD4737 HI
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

94-837 Waipahu St
Waipahu, HI 96797

Mailing address

94-837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Other practice location 1

3216 Elua St
Lihue, HI 96766-1213
Phone (808) 246-8300

Other practice location 2

1022 Gulick Ave
Honolulu, HI 96819-4511
Phone (808) 847-4659

Other practice location 3

70 Olona St
Hilo, HI 96720-5017
Phone (808) 731-4949

Other practice location 4

1712 Liliha St Ste 302
Honolulu, HI 96817-3100
Phone (808) 596-1754

Other practice location 5

1807 N King St
Honolulu, HI 96819-3447
Phone (808) 841-4195

Other names

  • Primary Care Clinic of Hawaii Doing business as

Other providers in Waipahu, HI

All providers in Waipahu, HI · Internal Medicine Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.