Healthcare Provider Details

I. General information

NPI: 1336755263
Provider Name (Legal Business Name): HAWAIKIKI TELEHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1088 BISHOP ST STE 113
HONOLULU HI
96813-3109
US

IV. Provider business mailing address

1088 BISHOP ST STE 103
HONOLULU HI
96813-3109
US

V. Phone/Fax

Practice location:
  • Phone: 808-888-4800
  • Fax:
Mailing address:
  • Phone: 808-888-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TONY TRPKOVSKI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 808-369-4002