Healthcare Provider Details

I. General information

NPI: 1972438505
Provider Name (Legal Business Name): RISEN HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3057 KOAPAKA ST
HONOLULU HI
96819-5103
US

IV. Provider business mailing address

3057 KOAPAKA ST
HONOLULU HI
96819-5103
US

V. Phone/Fax

Practice location:
  • Phone: 808-774-7333
  • Fax:
Mailing address:
  • Phone: 808-774-7333
  • Fax: 833-468-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRIS BROOKS
Title or Position: MANAGER
Credential:
Phone: 808-774-7333