NPIMap

Organization Active NPI

Hawaii Advanced Medical Group, LLC

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1164828943
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
8661 Issued in HI
Legal business name
HAWAII ADVANCED MEDICAL GROUP, LLC
Practice address
1020 Keeaumoku St Ste 206
Honolulu, HI 96814-2003
Phone
(201) 978-3900
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Sung Yang
Title
Owner
Phone
(201) 978-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 8661 HI Primary

Addresses

Primary practice location

1020 Keeaumoku St Ste 206
Honolulu, HI 96814-2003

Mailing address

PO Box 8544
Honolulu, HI 96830-0544

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.

Locations

1020 Keeaumoku St
Ste 206
Honolulu, HI 96814
Phone (201) 978-3900

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1164828943",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KEEAUMOKU ST STE 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142003",
            "telephone_number": "201-978-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII ADVANCED MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-978-3900"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "HI",
            "license": "8661",
            "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 Nov 6, 2014; 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.