Healthcare Provider Details

I. General information

NPI: 1639561343
Provider Name (Legal Business Name): KALIHI KAI URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 N KING ST
HONOLULU HI
96819-3481
US

IV. Provider business mailing address

94-216 FARRINGTON HWY # B2-106 SUITE 313
WAIPAHU HI
96797-1922
US

V. Phone/Fax

Practice location:
  • Phone: 808-779-3655
  • Fax:
Mailing address:
  • Phone: 808-779-3655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RIDA T. R. CABANILLA
Title or Position: PRESIDENT
Credential: RN
Phone: 808-779-3655