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KA WAI OLA FAMILY MEDICAL CLINIC LLC NPI 1558706960


NPI Information

NPI: 1558706960
Provider Name: KA WAI OLA FAMILY MEDICAL CLINIC, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 12D1101500

Address:
94-849 LUMIAINA ST
UNIT 207
WAIPAHU, HI
ZIP 96797
Phone: (808) 677-8222
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KA WAI OLA FAMILY MEDICAL CLINIC, LLC is a non pharmacy dispensing site in Waipahu, HI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) KA WAI OLA FAMILY MEDICAL CLINIC, LLC NPI is 1558706960. The provider is registered as an organization entity type.

The provider's business location address is:

94-849 LUMIAINA ST
UNIT 207
WAIPAHU, HI
ZIP 96797-677
Phone: (808) 677-8222

The provider's authorized official is James K. Okamoto .
The authorized official title is Member and has the following contact phone number (808) 677-8222.

The CLIA number assigned to this NPI record is 12D1101500 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 10/5/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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