Healthcare Provider Details

I. General information

NPI: 1114644119
Provider Name (Legal Business Name): HALILI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 N KUAKINI ST
HONOLULU HI
96817-2306
US

IV. Provider business mailing address

876 CURTIS ST APT 3308
HONOLULU HI
96813-5162
US

V. Phone/Fax

Practice location:
  • Phone: 407-595-9024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO HALILI JR.
Title or Position: OWNER
Credential: MD
Phone: 407-595-9024