Healthcare Provider Details

I. General information

NPI: 1326955907
Provider Name (Legal Business Name): KAIZEN WELLNESS HAWAII LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N VINEYARD BLVD STE A325-110
HONOLULU HI
96817-3950
US

IV. Provider business mailing address

200 N VINEYARD BLVD STE A325-110
HONOLULU HI
96817-3950
US

V. Phone/Fax

Practice location:
  • Phone: 808-400-9185
  • Fax:
Mailing address:
  • Phone: 808-400-9185
  • Fax:

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: JORDAN KATSUMI SCHICK
Title or Position: PROVIDER/OWNER
Credential: FNP
Phone: 808-398-5471