Dr. Kiyotaka Albert Yazawa
Family Doctor - Geriatric Medicine
1027 Hala Dr Maluhia
Honolulu
, Hawaii 96817
Dr. Kiyotaka Albert Yazawa
Family Doctor - Geriatric Medicine
1027 Hala Dr Maluhia
Honolulu
, Hawaii 96817
(808) 737-8212
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kiyotaka Albert Yazawa
- 1508b Pualele Pl
- Honolulu, HI
- Zip : 96816-3326
- Phone : (808) 737-8212
Second Address
- Dr. Kiyotaka Albert Yazawa
- 1027 Hala Dr Maluhia
- Honolulu, HI
- Zip : 96817
- Fax : (808) 832-1932
- Phone : (808) 832-6129
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD-11070 | HI |
National Provider Identifier
| NPI | 1184694192 |
|---|---|
| Provider Name | Dr. Kiyotaka Albert Yazawa |
| First Address | Honolulu, HI 96816-3326 |
| Second Address | Honolulu, HI 96817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 24/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00067495 | (05) | HI |
| 00B0228664 | BLUE CROSS/ BLUE SHIELD (01) | HI |
| H34875 | (02) | HI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.