Healthcare Provider Details
I. General information
NPI: 1689068900
Provider Name (Legal Business Name): 'EKAHI URGENT CARE KALIHI LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2015
Last Update Date: 03/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1585 KAPIOLANI BLVD SUITE 1740
HONOLULU HI
96814-4522
US
IV. Provider business mailing address
2055 N KING STREET SUITE 101
HONOLULU HI
96819-3462
US
V. Phone/Fax
- Phone: 808-948-9500
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DEAN
K
HIRATA
Title or Position: MANAGER
Credential:
Phone: 808-948-9552