Provider Demographics
NPI:1063807840
Name:GARCIA, ANN CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CATHERINE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KUAKINI MEDICAL CENTER
Mailing Address - Street 2:347 N. KUAKINI STREET, HPM 9
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-523-8461
Mailing Address - Fax:808-528-1897
Practice Address - Street 1:KUAKINI MEDICAL CENTER
Practice Address - Street 2:347 N. KUAKINI STREET, HPM 9
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-523-8461
Practice Address - Fax:808-528-1897
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ390200000X
HI19530207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program