A Message to Our Manakai ʻOhana

After nearly 25 years, Ira D. Zunin, M.D., M.P.H. has retired as medical director of Manakai O Malama Integrative Healthcare Group and Rehabilitation Center. Alia and Dr. Zunin opened Manakai in 2002. Many colleagues helped build it over the years.

We are deeply grateful to everyone who made this possible. Together, our team provided care in many hundreds of thousands of visits. We offered a safe medical home regardless of insurance status or ability to pay.

Manakai closed on May 31, 2026. We know finding a new provider has not been easy. Thank you for trusting us with your care.

Continue Your Care with HI Direct Primary Care

Dr. Zunin formed HI Direct Primary Care (HIDPC) with Dr. Rachel Okabe, a former Manakai physician. Dr. Okabe is board-certified in internal medicine and trained at NYU Grossman School of Medicine. Dr. Zunin oversees the practice because he believes in direct access to care. He also joins Dr. Okabe to see patients with complex medical needs.

HIDPC is a membership-based primary care practice. Membership is limited in size, so your provider has time to know you.

• Appointments are often available within 2 to 3 business days.
• Members can message their provider directly. Replies typically come within 24 to 48 hours.
• In-person visits at Century Square in downtown Honolulu, plus telehealth.
• Patients with Medicare are welcome. HIDPC cannot currently see patients with Medicaid (including HMSA QUEST), or patients with both Medicare and Medicaid. This may change.

Learn More About HIDPC 

Questions about HIDPC? Call (808) 808-5904 or email info@hidirectprimarycare.com.

Your Medical Records

• All Manakai clinical notes, lab results, and other records are available to view or print in your MyChart account with Hawaii Pacific Health. They will stay available there. For login help, call MyChart Support at (808) 535-7725 (Oahu).
• Most providers in Hawaii and on the mainland use Epic. Any new provider that uses Epic can find your medical records there.
• Need a hard copy? Contact SIMS Hawaii, which handles Manakai medical records requests, at (808) 772-1216 or records@simshawaii.com.

Other Options for Care

• Check with your insurance plan for a primary care provider in your network.
• Community Health Centers across Hawaii offer sliding-scale care regardless of insurance status. Visit the Hawaii Primary Care Association at hawaiipca.net to find a location near you.
• For urgent health needs, go to your nearest emergency room or urgent care center.

Questions about Manakai? Email patientcare@manakaiomalama.com.