About Manakai O Malama

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Established in 2002 by Dr Ira and Alia Zunin

Dr. Zunin, a preventive medicine physician, and his wife Alia, an acupuncturist,  had a vision to create a clinic serving the people of Hawaii, bringing together both modern medicine and traditional healing professionals so all may benefit from the best medicine can provide.

To date, Manakai O Malama has provided health care to over half a million individuals. We have over 25 different professionals working together in a collaborative medical environment. Manakai O Malama has always accepted all insurances to ensure equal access to care under existing laws.

Manakai O Malama Integrative Healthcare Group and Rehabilitation Center offers a full range of modern and traditional medical services in a personal and supportive environment where patient-centered approaches emphasize the unique needs of each patient. Health and well-being of each patient are at the core of what we do. Each patient’s path to well-being is unique and an individualized approach must be implemented to achieve optimal health

Integrative healthcare is the practice of combining modern medicine and traditional healing approaches in the everyday practice of medicine. At Manakai our focus is on collaboration between our patients and their multidisciplinary team, working together as partners to promote healing and optimal health.

Our Mission: Manakai O Malama Integrative Healthcare Group and Rehabilitation Center is dedicated to bringing together the best of modern medicine and traditional healing arts in partnership for health using a collaborative, multi-disciplinary, culturally sensitive whole patient approach.

Our Vision: By fulfilling its mission, Manakai O Malama Integrative Healthcare Group and Rehabilitation Center will impact a change in the culture of medicine in Hawaii.

Dr. Ira Zunin, MD, MPH

Primary Care and Preventive Medicine | Occupational Health and Integrative Medicine | Pain Management

Dr. Zunin has been practicing medicine in Hawaii since 1993. He is the medical director of Manakai O Malama Integrative Healthcare Group and Rehabilitation Center and maintains a full-time integrative clinical practice specializing in occupational health, preventive medicine and chronic pain.

He earned his medical degree from the UCLA School of Medicine, and completed a residency in Preventive Medicine in Hawaii. He also earned a Master’s Degree in Public Health. After further experience in the field, he earned Specialty Board Certification in General Preventive Medicine and Public Health and has served as an Assistant Clinical Professor at the University of Hawaii School of Public Health

In addition to his practice at Manakai O Malama, Dr. Zunin lectures locally, nationally and internationally on a variety of aspects of health and wellness with a particular focus on integrative medicine. He is frequently featured in the media and writes a regular column, Health and Wellness in the Honolulu Star Advertiser.

Dr. Yefim Levy, Internal Medicine

Dr. Levy is a board certified Internist with over 25 years in practice. Dr. Levy operated a successful private practice in Detroit, Michigan until relocating to Honolulu in 2017. Through his work in private practice and hospital based care, Dr. Levy is highly experienced in managing patients with basic primary care needs to patients with complex chronic and acute medical conditions. Dr. Levy was born in Russia and is fluent in both English and Russian.

Christopher ‘Scott’ Acree, PA-C, General

Practice, Pain Management

Christopher “Scott” Acree is a Board Certified Physician’s Assistant in Primary Care. He joined the Manakai O Malama team in December 2013. He specializes in general medicine, chronic pain management, and minor outpatient procedures.  He earned his degree in 1998 from the University of Nebraska Medical Center with a BS in Physician Assistant Studies. He served in the United States Air Force from 1996 – 2003 where he achieved the rank of Captain, serving as a linguist and later a Certified Physician’s Assistant.

He speaks Spanish and Vietnamese conversationally. Having moved to Hawaii in June 2009, he has embraced the local culture stating, “The social differences of the local Hawaiians are very unique and allow excellent experience in dealing with people from different ethnic backgrounds of the many pacific islands.”

Julie Rizzolo, FNP

Family Nurse Practitioner

Julie Rizzolo is a Family Nurse Practitioner, FNP, that is certified by the American Association of Nurse Practitioners. She graduated from Simmons College in 2018 with her FNP degree. Prior to becoming a FNP, Julie was an ICU nurse in the Washington D.C area for over 5 years specializing in Trauma and Transplant services. Her nursing degree was received in 2008 from Northeastern University in Boston, MA.

She moved to Hawaii in May 2018 and has been embracing the local culture since then. She enjoys hiking, cooking, snorkeling, and enjoying the beautiful weather.

Dr. Landon Opunui, ND

Doctor of Naturopathic Medicine

As a Native Hawaiian, Dr. Opunui is a naturopathic physician that weaves the traditional views of health and nature with the scientific understanding of plants and the human body by integrating natural and modern medicine to restore health. Dr. Opunui believes in empowering his patients to take control of their health by engaging them in the healing process through education. His patients are offered a choice in treatment options that goes far beyond pharmaceutical medication which often result in fewer side effects and improved health outcomes. Practicing what he preaches, Dr. Opunui leads by example, modeling healthy behavior to his patients and community. Dr. Opunui is a resident of Kailua and member of Kailua Canoe Club.

Dr Julie Takishima-Lacasa, PhD


Julie Yurie Takishima-Lacasa, Ph.D., obtained her doctoral degree in Clinical Psychology from the University of Hawai‘i at Mānoa and is a National Register of Health Service Psychologist. She specializes in providing integrated behavioral health services in a primary care setting, working closely with medical providers to address behavioral factors in chronic illness care, physical symptoms associated with stress, and health behavior change. As a generalist, she treats a broad range of mental health problems and disorders across the developmental spectrum, and has specialized training in the treatment of eating and personality disorders. In her research position at the University of Hawai‘i she focuses on addressing disparities in the accessibility and utilization of effective, culturally informed behavioral health services for at-risk, rural communities of Hawai‘i. Julie is also very active in local and national legislative advocacy for the profession of psychology and the communities psychologists serve. Julie was born in Japan, and was raised between the U.S. and her country of birth. In her free time, Julie is an avid trail runner and surfer.

Dr. Megan Lade, DC

Chiropractor | Natural Healer

Dr. Megan Lade is a graduate of Palmer College of Chiropractic – Florida Campus in Port Orange, Florida. She received her undergraduate degree at Indiana University – Bloomington with a Bachelor of Science in Kinesiology focusing on Exercise Science.

Dr. Lade understands the importance of rehabilitation along with proper nutrition and structural alignment in order to recover and perform at the most optimal level. She is a strong supporter of total body health with chiropractic care as a key component.

Hilary Valentine, OTR/L

Occupational Therapist

Hilary attended Boston University and graduated with a Master of Science in Occupational Therapy in 2007. Upon completion of her degree she moved to Hawaii. Since 2007 she has worked in a variety of settings including inpatient rehabilitation, skilled nursing, and community settings. Her passion lies in working with clients with chronic conditions, as well as using OT to promote health and wellness in all of her clients’ lives. Hilary uses an integrative and holistic approach to therapy with concentration on close collaboration with the client to achieve their desired goals. Hilary is also trained as a health and wellness coach through Wellcoaches.

Peggy Fye, OTR/L

Occupational Therapist

Peggy Fye has over 20 years of experience as an occupational therapist. She has specialized in manual therapy for 15 years, with extensive experience in gentle techniques including Craniosacral, Strain/Counterstrain, Mobilizations with Movement, Muscle Energy, Myofascial Release, and Trigger point therapy. She enjoys treating chronic pain conditions, and can treat patients of all ages because the therapies are so gentle. She also believes in teaching self strategies so patients can participate in their own healing.

She moved to Hawaii 4 years ago from Kansas, where she was a Jay Hawk from the University of Kansas, collected Wizard of Oz memorabilia, and dodged tornadoes.

Lora Linehan, OTR/L

Occupational Therapist

Lora is a recent graduate from the OTA program at Kapiolani Community College. She decided to pursue occupational therapy to help people on their road to being and feeling the best they can be. Lora has found a passion for health and wellness, believing that true recovery comes from treating the whole person.

Lora is originally from Massachusetts, but has lived on Oahu since 2003. She is also a licensed massage therapist and has a Bachelor of Science in Apparel Product Design and Merchandising from UH Manoa.

Steve Thomas, DPT

Physical Therapist

Steve Thomas has been practicing physical therapy since 2004 when he graduated from the University of North Dakota.  In 2007, he continued his education and graduated from the University of North Dakota with a Doctorate in Physical Therapy.  Steve’s focus is general orthopedics, but because of his experience as both a high school and collegiate athlete, he has a passion for treating sports medicine patients as well.

Lia Yamamoto, DPT

Physical Therapist

Lia has been practicing physical therapy since 2005 after graduating from Pacific University with a Doctorate in Physical Therapy. Born and raised on Maui, Lia has been greatly enjoying her recent return back to Hawaii after practicing in Portland, Oregon for over 10 years. She is certified in ASTYM soft tissue therapy, and enjoys helping people return to activity, sport, and work.

Fabienne Wade, PT

Physical Therapist

Fabienne earned a Bachelor of Science in physical therapy from State University of New York in Buffalo in 1983. She moved to Hawaii that same year where she began to practice physical therapy full-time. In 1997 she opened a physical therapy practice in Guam and spent the next three years there serving as the lead physical therapist. She has since moved back to Oahu permanently and lives on the North Shore. Fabienne specializes in the treatment of orthopedic injuries, with particular expertise in spine rehabilitation. She also works closely with patients to encourage them to move forward in their lives, beyond the pain and disability they have been dealing with.

Nani Ishii, PTA

Physical Therapist

Nani earned her PTA license from Oregon State University and a PTA certificate from Kapiolani Community College in 1996. She has 15 years of experience in outpatient rehabilitation and offers particular expertise in orthopedics. Nani was born and raised on Oahu where she first became interested in integrative healthcare.

Alia Zunin, LAC


Born and raised in Ireland, Alia received her Social Work degree from Trinity College, Dublin. Ten years in California exploring various healing and life enhancing arts led her to the study of acupuncture. She moved to Hawaii in 1993 where she received her Master Degree in Oriental Medicine from Tai Hsuan Foundation. She currently lives in Honolulu and practices acupuncture and Traditional Chinese Medicine at Manakai O Malama.

Tara Mattes, LAC


Tara Mattes graduated from the University of Colorado at Boulder with a B.A in World Religions and Biology. Upon graduation her career took her to various parts of the world where she eventually encountered acupuncture. Determined to learn more about this art, she was fortunate enough to land in Hawaii where she choose to study under Taoist Master, Dr. Chang Yi Hsiang, Ph. D. at the Tai Hsuan College of Acupuncture and Herbal Medicine. She has had a wide variety of experience from women’s health, addiction and recovery, to pain management. She currently practices at Manakai O Malama.

Noel Eto, LMT

Massage Therapist

Licensed and practicing massage therapy for over 35 years, Noel has studied Shiatsu, Swedish massage, Reiki-2nd degree, reflexology, cranial sacral therapy and trigger point therapy.

Noel received her Physical Therapist Assistant degree in 2001, expanding her medical knowledge and increasing manual skills. Noel is also a disciple of Wu Style T’ai Chi Ch’uan Master Patricia Leong.

Lama Wangchuck

Massage Therapist

Born in Tibet and trained in India as Tibetan Buddhist monk, Lama was assigned by his elder brother His Eminence the 12th Tai Situ Rinpoche to teach meditation in Hawaii. He has followed these instructions over the past 21 years. In 2012 he pursued his education in massage therapy, acquiring his license in 2014. Since that time Lama has worked at Manakai O Malama as a medical massage therapist providing his patients with a variety of massage techniques including Swedish, Shiatsu, and Lomi Lomi with the goal of reducing pain, increasing circulation, and improving range of motion. Lama incorporates his training as a monk and meditation leader into his massage sessions, providing patients with a unique experience.