NPIMap

Organization Active NPI

Hawaii Advanced Medical Group, LLC

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1164762753
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT12513 Issued in HI
Legal business name
HAWAII ADVANCED MEDICAL GROUP, LLC
Practice address
1314 S King St
Suite #1564
Honolulu, HI 96814-1956
Phone
(808) 238-1691
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Sung Yang
Title
Ceo
Phone
(808) 238-1691

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU833 HI
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MAT12513 HI Primary

Addresses

Primary practice location

1314 S King St
Suite #1564
Honolulu, HI 96814-1956

Mailing address

PO Box 8544
Honolulu, HI 96830-0544
Phone (808) 238-1691

National Provider Directory

National Provider Directory
Tax ID family
Hawaii Advanced Medical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1164762753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8544",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968300544",
            "telephone_number": "808-238-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE #1564",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956",
            "telephone_number": "808-238-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII ADVANCED MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-238-1691"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU833",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT12513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.