=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972844595
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. BEHLING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2013
-----------------------------------------------------
Last Update Date | 07/25/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 KAPIOLANI BLVD STE 817
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-585-0785
-----------------------------------------------------
Fax | 808-942-7025
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 26497
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96825-6497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-585-0785
-----------------------------------------------------
Fax | 808-942-7025
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL MANAGER
-----------------------------------------------------
Name | ALEXANDRA KAGAYA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 808-306-5242
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 134224
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 15157
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------