After nearly 25 years as medical director of Manakai O Malama Integrative Healthcare Group and Rehabilitation Center, Ira D. Zunin, M.D., M.P.H. will be retiring by the end of May. Envisioned by Alia and Dr. Zunin, Manakai opened in 2002, and was built through the effort and dedication of many colleagues over the years.

Words cannot express the profound gratitude we feel toward all those who made this opportunity possible. Together, our team of practitioners has provided care for a diverse patient population in many hundreds of thousands of visits, offering a safe medical home regardless of insurance status or ability to pay.

We are heartbroken that your Manakai medical home will be closing. Our greatest hope is that Manakai’s mission doesn’t end here but will live on as its longstanding staff continue to care for patients throughout Hawaii. We do recognize that finding a new provider may be challenging. It has been a pleasure serving you and we thank you for trusting us with your care.

Following retirement from Manakai, Dr. Zunin plans to continue medical service to the community, offer concierge medicine with an emphasis on precision strategies to optimize healthspan, and conduct research. If you are interested in learning more about concierge medicine, please reach out to patientcare@manakaiomalama.com.

IMPORTANT DATES

• May 15th, 2026, Manakai transitioned to Telehealth-only visits while preparing the office for closure.
• May 31st, 2026, Manakai officially closed. All appointments scheduled after this date have been cancelled.
• For urgent health needs, please go to your nearest emergency room or urgent care center.

YOUR NEXT STEPS FOR CONTINUED CARE

Your medical records are safe and accessible:

• All Manakai clinical notes, lab results, and other records are available for viewing/printing from your MyChart account with Hawaii Pacific Health. These records will be available on MyChart even after Manakai closes. If you have issues logging into your MyChart, you can contact MyChart Support Line at (808) 535-7725 (Oahu).
• Most providers in Hawaii and on the mainland use EPIC, which means your records from Manakai can be located seamlessly by any new provider.
• Need a hard copy? Please contact SIMS Hawaii, who is contracted to fulfill medical records requests. You may reach them at 808-772-1216 or email records@simshawaii.com.

Looking for a new provider? Here are a few places to start:

• Check with your insurance plan to find a new primary care provider in your network.
• We do not yet have information on where Manakai clinicians will be practicing next, but we will share updates as they become available.
• Community Health Centers across Hawaii offer sliding-scale care regardless of insurance status. Visit the Hawaii Primary Care Association at hawaiipca.net to find locations near you.