Healthcare Provider Details

I. General information

NPI: 1467326892
Provider Name (Legal Business Name): OHANA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 E BRIARWOOD AVE STE 120
CENTENNIAL CO
80112-3925
US

IV. Provider business mailing address

13111 E BRIARWOOD AVE STE 120
CENTENNIAL CO
80112-3925
US

V. Phone/Fax

Practice location:
  • Phone: 720-704-5644
  • Fax: 720-912-2854
Mailing address:
  • Phone: 720-704-5644
  • Fax: 720-912-2854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KWONG-YAO CHOW
Title or Position: OWNER/FAMILY PHYSICIAN
Credential: DO
Phone: 720-704-8510