Healthcare Provider Details

I. General information

NPI: 1366368979
Provider Name (Legal Business Name): PALIKU PROSTHETICS & ORTHOTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

94-479 UKEE ST STE 101
WAIPAHU HI
96797-6208
US

IV. Provider business mailing address

94-479 UKEE ST STE 101
WAIPAHU HI
96797-6208
US

V. Phone/Fax

Practice location:
  • Phone: 808-909-2296
  • Fax: 808-909-2296
Mailing address:
  • Phone: 808-909-2296
  • Fax: 808-909-2296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: FOREST SEXTON
Title or Position: PRESIDENT
Credential:
Phone: 541-601-6666