
Meet our team

Aloha from Gary "Kiki" Takashiro Blum, M.D.
Born and raised in Honolulu, Hawai‘i, Gary "Kiki" Takashiro Blum graduated from Roosevelt High School in 1993. He earned his undergraduate degree from the University of Michigan with highest distinction in 1996, and subsequently returned home to the University of Hawai'i for Medical School and Orthopedic Surgery residency.
He completed a one-year research fellowship during the course of residency, and has presented his research at numerous local and national orthopedic meetings. Following residency, he traveled to San Antonio, Texas, where he completed a one-year fellowship in Hand, Upper Extremity, and reconstructive Microsurgery. He was blessed to have worked with Dr. David Green and Dr. William C. Pederson, both giants in their respective fields.
Dr. Blum has spent time as a visiting resident and fellow at several programs across the country, including Harborview Medical Center in Seattle, WA and Mayo Clinic in Rochester, MN. He also had the good fortune of traveling internationally through orthopedic outreach programs; first to the South Pacific (Fiji, Western & American Samoa) with Shriners Hospital for Children, then Vietnam (Saigon, Hue, and Hanoi) with Orthopedics Overseas and the American Academy for Surgery of the Hand.
Dr. Blum, his wife Shawn and their four children Siana, Brady, Kaya, and Bella are thrilled to be home in Hawai‘i with family and friends. He enjoys trail running, hiking with his family and soaking up the beauty of Hawai‘i. He has been coaching youth soccer, basketball, and volleyball from 2012-present.
He and Dr. Darryl Kan opened All Access Ortho on O‘ahu in 2013 as the first (and still only) dedicated Orthopedic Urgent Care. They have since expanded to three locations: Hale Pawa‘a, Mililani, and Kapolei.
Professional Affiliations
• American Academy of Orthopedic Surgeons, Fellow
• American Society for Surgery of the Hand, Active Member
• Board Certified, American Board of Orthopedic Surgery
• Subspecialty Certificate in Surgery of the Hand
• American Medical Association, Lifetime Member


Brittni Kimie Peralto Hoe, PA-C
Maui native Brittni Kimie Peralto Hoe is Lead Physician Assistant and Clinic Manager at AAOM. In fact, it was her return home in 2020 that inspired the expansion to the Valley Isle.
Brittni graduated from Kamehameha Schools, Kapālama Campus, in 2003. She went on to earn a B.S. in Natural Science Studies at Loyola Marymount University and an M.S. in Physician Assistant Studies at Touro University. After becoming nationally certified as a Physician Assistant in 2010, Brittni worked at The Everett Clinic in Washington State, in the specialty of Hand Orthopedics and Plastic Surgery, for several years. She returned home to Hawai‘i in 2013, and started her employment with AAO on O‘ahu the following year. Over the next eight years, Brittni helped to expand AAO to two additional O‘ahu offices and was promoted to Lead Physician Assistant, overseeing her fellow PAs and staff across all office locations.
In 2020, she and her family relocated to Maui, which motivated the opening of the new office. Brittni, her husband and their two children are thrilled to be here and to establish strong roots as a family. Born on Maui, Brittni feels it is her kuleana to help community members by providing them with direct access to specialized orthopedic care. In her time outside work, she enjoys yoga, travel, the beautiful beaches of Maui, and spending quality time with family and friends.
Professional Affiliations:
American Academy of Physician Assistants
Hawai‘i Academy of Physician Assistants

AAOM partners
Pediatric Orthopedics Specialty Consultation Clinic

Byron Izuka, M.D.
AAOM offers Pediatric Orthopedics Specialty Consultation Clinic with Dr. Byron Izuka, a Board Certified Pediatric Orthopedic Surgeon. Dr. Izuka has more than 20 years of experience in the field and is well-published. Dr. Brian will be visiting our Maui clinic for consultations the third Thursday of each month.
Dr. Izuka is a proud graduate of ‘Aiea High School. He received his undergraduate degree from the University of California at Irvine and attended the University of Hawai‘i John A. Burns School of Medicine (UH JABSOM) and Orthopedic Surgery Residency Program. He then completed a fellowship in Pediatric Orthopedic Surgery at the Nemours Children's Clinic in Orlando, Fla., before returning home to stay.
Dr. Izuka is a UH JABSOM Associate Clinical Professor and sees patients with orthopedic problems of all ages, with particular expertise in newborns, infants, children and adolescents. He has developed several novel treatments for fractures in children (what is done for adults may not work or even be necessary in children) with numerous presentations, publications and research awards to his credit. He also believes in giving back to the community and has volunteered as a sideline team physician for the Aiea High School and University of Hawai‘i athletic departments since 2001.
In his spare time, Dr. Izuka enjoys discovering new ethnic foods to try (maybe too much!), outdoor activities and all things Disney.
Profession Affiliations:
– American Academy of Orthopaedic Surgeons, Active Member
– American Board of Orthopaedic Surgeons, Diplomate (Board Certified)
– Pediatric Orthopaedic Society of North America, Active Member
– Hawai‘i Orthopaedic Association, Active Member