Provider Demographics
NPI:1265902555
Name:KOBAYASHI, LIANA TSURUKO (DO, MPH)
Entity type:Individual
Prefix:
First Name:LIANA
Middle Name:TSURUKO
Last Name:KOBAYASHI
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1211 FARRINGTON HWY BLDG AA
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3205
Mailing Address - Country:US
Mailing Address - Phone:808-835-6244
Mailing Address - Fax:808-678-9644
Practice Address - Street 1:94-1211 FARRINGTON HWY BLDG AA
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3205
Practice Address - Country:US
Practice Address - Phone:808-835-6244
Practice Address - Fax:808-678-9644
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2025-01-23
Deactivation Date:2020-05-30
Deactivation Code:
Reactivation Date:2020-07-08
Provider Licenses
StateLicense IDTaxonomies
HIDOS-2427-0204D00000X, 207Q00000X
HIDOSR-503207Q00000X
OH34.016481207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM