KAHALA PEDIATRICS LLC NPI 1457477010

NPI Information

KAHALA PEDIATRICS, LLC is a specialist in Honolulu, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KAHALA PEDIATRICS, LLC NPI is 1457477010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4747 KILAUEA AVE
#202
HONOLULU, HI
ZIP 96816-308
Phone: (808) 735-5541

The provider's authorized official is Scott Dezzani .
The authorized official title is Manager and has the following contact phone number (808) 735-5541.

The CLIA number assigned to this NPI record is 12D0981087 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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