Basic Information
| Provider Information | |||||||||
| NPI: | 1922011493 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MACHI | ||||||||
| FirstName: | JUNJI | ||||||||
| MiddleName: | BERNARD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 405 N KUAKINI ST | ||||||||
| Address2: | SUITE 601 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968176300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085365811 | ||||||||
| FaxNumber: | 8085960370 | ||||||||
| Practice Location | |||||||||
| Address1: | 405 N KUAKINI ST | ||||||||
| Address2: | SUITE 601 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968176300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085365811 | ||||||||
| FaxNumber: | 8085960370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2006 | ||||||||
| LastUpdateDate: | 10/15/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD9040 | HI | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.