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

• Effective May 15th, 2026, Manakai will transition to Telehealth-only visits as we prepare the office for closure.
• Effective May 31st, 2026, Manakai will officially close. All appointments scheduled after this date have been cancelled.
• Limited openings remain for scheduling appointments before closure. 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? You’re welcome to arrange an in-person pickup through mid-May. If you would like a copy of your records gathered and sent to you from our office, there is a charge of $1/page for the first 50 pages and $0.50/page for remaining pages (including emailed records).
• Prefer to request records by email? Reach us at patientcare@manakaiomalama.com. You may use this email for other inquiries as well.
  
• Our office is transitioning to a new Medical Records system after closure. More information to come if you would like to request your records after our office closes

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.

Workers’ Compensation and No-Fault patients:

• Workstar: (808) 676-5331
• Hawaii Injury and Recovery Center: (808) 762-0777

Both offer workers’ compensation, no-fault, and pain management care.