DR. MARNI LUM DEZZANI


Address: 3150 Monsarrat Ave Ste 200, Honolulu, HI 96815-4488
Phone: 8087355541

DR. MARNI LUM DEZZANI (NPI# 1245655794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245655794
Entity Type Individual
Full Name DR. MARNI LUM DEZZANI
Other Name DR. MARNI DEZZANI
Credential MD
Practice Address 3150 Monsarrat Ave Ste 200
Honolulu
HI 96815-4488
Mailing Address 1808 Kanakanui St
Honolulu
HI 96819-3227
Practice Telephone 8087355541
Practice Fax Number 8087345923
Enumeration Date 2014-02-20
Last Update Date 2014-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
MD10106 HI Allopathic & Osteopathic Physicians

Office Location

Street Address 3150 MONSARRAT AVE STE 200
City HONOLULU
State HI
Zip Code 96815-4488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104052497 Joseph Scott Ward Pediatrics 3150 Monsarrat Ave Ste 200, Honolulu, HI 96815-4488 2009-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861956609 Kristen Nicole Sutton Counselor 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 2019-01-25
1760954192 Mie Takizawa Lilavois Nurse Practitioner 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 2018-12-25
1588131320 Queen's Development Corporation and Subsidiaries Clinic/Center 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 2018-10-30
1679906614 Stephen Anthony Reynolds Psychologist 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 2013-08-13
1275974834 Sean David Tarrant Behavioral Analyst 456 Keoniana St Apt 304, Honolulu, HI 96815 2013-07-11
1679841928 Saki Kimura Physical Therapist 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 2011-12-01
1376782243 Ed G Fess Preventive Medicine 3038 La Pietra Cir, Honolulu, HI 96815 2009-02-16
1386813095 Cck Daniel LLC Family Medicine 460 Ena Road, #603, Honolulu, HI 96815 2008-02-27
1932377751 Ryan Koichi Frasco Dentist 3358 Campbell Avenue, Honolulu, HI 96815 2008-02-14
1952522609 Stephen Richard Ho Dentist 438 Hobron Lane, Ste 209, Honolulu, HI 96815 2007-05-01
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912102690 Donald Fb Char Pediatrics 5650 Halepa Pl, Honolulu, HI 96821-2118 2007-06-20
1336571405 James Katsuya Nakamura Pediatrics 1319 Punahou St, Suite 900, Honolulu, HI 96826-1001 2013-07-31
1033321534 Venu Reddy Md & Vj Reddy Md LLP Pediatrics 1319 Punahou St Ste 1160, Honolulu, HI 96826-1089 2007-05-04
1174690473 Vijaya D. Reddy Pediatrics 1329 Lusitana St, Suite 701, Honolulu, HI 96813-2429 2006-11-29
1952485146 Ken Nagamori Pediatrics 1319 Punahou St, Suite 1030, Honolulu, HI 96826-1077 2006-10-24
1437255080 Robert J. Bidwell Pediatrics 1319 Punahou St, Honolulu, HI 96826-1001 2006-09-14
1598788440 Pediatric Group of Honolulu, LLP Pediatrics 1319 Punahou St, Suite 1100, Honolulu, HI 96826-1001 2006-07-25
1619909751 Chunmei Wu Pediatrics 1319 Punahou St, #910, Honolulu, HI 96826 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497701114 Dwight H Matsumura Pediatrics 333 Uluniu St, 103, Kailua, HI 96734-2525 2006-05-25
1225086259 Naro Luke Torres Pediatrics 579 Farrington Hwy, Suite 203, Kapolei, HI 96707-2027 2006-05-04
1467820985 Frank R. Baum, Md, Inc. Pediatrics 200 Kalepa Pl, Kahului, HI 96732-2471 2015-09-15
1447542949 Christopher Michael Daly Pediatrics 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2011-05-03
1346547221 Darrett Choy Md LLC Pediatrics 275 Ponahawai St, Suite #106, Hilo, HI 96720-3074 2011-02-11
1134315005 Brian Wilson Md L.L.C. Pediatrics 275 Ponahawai St, Suite 106, Hilo, HI 96720-3074 2007-09-24
1770794554 Kasi Meredith Chu Pediatrics 755 Scott Cir, Jbphh, HI 96853-5399 2007-05-24
1518063197 Perlita Bolosan Lampitoc Pediatrics 94-235 Hanawai Cir, Waipahu, HI 96797-3029 2006-09-15
1215048400 Amy B Harpstrite Pediatrics 642 Ulukahiki St, #205, Kailua, HI 96734-4400 2006-08-31
1952344905 Benjamin C Chang Pediatrics 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 2006-06-14
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Competitor

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City HONOLULU
Zip Code 96815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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