Evergreen Adc Hawaii

Specialty details in registry · Honolulu, HI

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At a glance

1124 Fort Street Mall Fl 2, Honolulu, HI 96813-2715

NPPES record updated Jun 4, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1124 Fort Street Mall Fl 2
Honolulu, HI 96813-2715
Professional details: NPI, taxonomy & registry record
NPI1063982627
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QA0600X
Enumeration date
Nov 27, 2018
Record updated
Jun 4, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QA0600X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1124 Fort Street Mall Fl 2
Honolulu, HI 96813-2715
Phone
(808) 372-8257
Fax
(808) 946-7571
Mailing address
1124 FORT STREET MALL FL 2

HONOLULU, HI 968132715
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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