Provider Demographics
NPI:1053123828
Name:GARANA-TAKIZAWA, LEINA ANN KAIHALAI HIROKO
Entity type:Individual
Prefix:
First Name:LEINA ANN
Middle Name:KAIHALAI HIROKO
Last Name:GARANA-TAKIZAWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 LOWER CAMPUS RD RM 231
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2352
Mailing Address - Country:US
Mailing Address - Phone:808-956-7606
Mailing Address - Fax:
Practice Address - Street 1:1337 LOWER CAMPUS RD RM 231
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2352
Practice Address - Country:US
Practice Address - Phone:808-956-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program