DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLUM HEALTH LLC

MEDICARE: BLUM HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician

General Provider Information

NPI Number : 1447128863
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUM HEALTH LLC
Provider Business Mailing Address
First Line : 5124 KALANIANAOLE HWY # A
Second Line :
City : HONOLULU
State : HI
Zip : 96821-1507
Country : US
Telephone Number : 415-359-8881
Fax Number :
Provider Business Practice Location Address
First Line : 5124 KALANIANAOLE HWY # A
Second Line :
City : HONOLULU
State : HI
Zip : 96821-1507
Country : US
Telephone Number : 415-359-8881
Fax Number :
Authorized Official
Title or Position : CEO
Name : KRYIJZTOFF NOVOTNAJ
Credential : PMHNP
Telephone Number : 415-359-8881
Provider Enumeration Date : 10/27/2025
Last Update Date : 10/27/2025

Similar Medicare Providers

1265374649 — ASUKA KOBAYASHI RPH
Practice Location Address:
5156 KALANIANAOLE HWY
HONOLULU, HI
96821-1507
Practice Phone: 808-377-9643
Practice Fax:
1205203544 — LONGS DRUG STORES CALIFORNIA LLC
Practice Location Address:
5156 KALANIANAOLE HWY
HONOLULU, HI
96821-1507
Practice Phone: 808-377-9643
Practice Fax:
1417450164 — SARA MITSUE LUM PHARMD
Practice Location Address:
5156 KALANIANAOLE HWY
HONOLULU, HI
96821-1507
Practice Phone: 808-377-9643
Practice Fax:
1831684497 — DR. DANIEL LOREN SABIN PHARMD
Practice Location Address:
5156 KALANIANAOLE HWY
HONOLULU, HI
96821-1507
Practice Phone: 808-377-9643
Practice Fax:
1063177731 — DR. KEVIN L LEE PHARM. D.
Practice Location Address:
5156 KALANIANAOLE HWY
HONOLULU, HI
96821-1507
Practice Phone: 808-377-9643
Practice Fax:
1467250373 — DANIELLE LEILEHUA MARGARET AIO PHARMD
Practice Location Address:
5156 KALANIANAOLE HWY
HONOLULU, HI
96821-1507
Practice Phone: 808-377-9643
Practice Fax:

Directions to “BLUM HEALTH LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.