| Organization Name: | ALII BARIATRIC CENTER |
| NPI Number: | 1386050169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOMINADOR GENIO (OWNER) |
| Mailing Address: | 75-5995 Kuakini Hwy Suite 427 Kailua Kona |
| State: | HI US |
| Postal Code: | 967402144 |
| Phone Number: | 8083293588 |
| Fax Number: | 8083293233 |
| NPI Enumeration Date: | 07/01/2014 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 8532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |