Healthcare Provider Details

I. General information

NPI: 1801769302
Provider Name (Legal Business Name): HONOLULU URGENT CARE CLINIC INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD STE 713
HONOLULU HI
96814-4404
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD STE 713
HONOLULU HI
96814-4404
US

V. Phone/Fax

Practice location:
  • Phone: 808-470-5555
  • Fax: 808-260-4147
Mailing address:
  • Phone: 808-677-7727
  • Fax: 808-697-5488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PETER DEE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 808-372-8257