| Sunnyside Medical Clinic Llc | |
|
1005 Keolu Dr Ste A Kailua HI 96734-3873 | |
| (808) 727-1715 | |
| Not Available |
| Full Name | Sunnyside Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1005 Keolu Dr Ste A, Kailua, Hawaii |
| Authorized Official Name and Position | Michelle Shanks (OWNER) |
| Authorized Official Contact | 8088250190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Medical Clinic Llc 84-740 Kili Dr 427 Waianae HI 96792-1509 Ph: (808) 825-0190 | Sunnyside Medical Clinic Llc 1005 Keolu Dr Ste A Kailua HI 96734-3873 Ph: (808) 727-1715 |
| NPI Number | 1407362395 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407362395 | NPI | - | NPPES |
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Christian W. Boyens, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike Street, Suite # 217, Kailua, HI 96734 Phone: 808-263-1330 Fax: 808-263-1335 | |
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