| Organization Name: | ALOHA FAMILY PRACTICE CLINIC, LLC |
| NPI Number: | 1164595229 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS JOHN SCHUSSER (GENERAL MANAGER) |
| Mailing Address: | 180 Dickenson St Suite 103 Lahaina |
| State: | HI US |
| Postal Code: | 967611215 |
| Phone Number: | 8086625642 |
| Fax Number: | 8086625642 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MD6743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |