Healthcare Provider Details

I. General information

NPI: 1568494730
Provider Name (Legal Business Name): ST LUKES CLINIC-ALA MOANA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD STE 2000
HONOLULU HI
96814-4408
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD STE 2000
HONOLULU HI
96814-4408
US

V. Phone/Fax

Practice location:
  • Phone: 808-945-3719
  • Fax:
Mailing address:
  • Phone: 808-945-3719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEIICHI KOBAYASHI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-945-3719