| 634 Kalihi Medical And Wellness Clinic, Llc | |
|
634 Kalihi St. Honolulu HI 96819 | |
| (808) 845-3911 | |
| (808) 848-0870 |
| Full Name | 634 Kalihi Medical And Wellness Clinic, Llc |
|---|---|
| Speciality | General Practice |
| Location | 634 Kalihi St., Honolulu, Hawaii |
| Authorized Official Name and Position | Rodrigo Gose Bristol (M.D.) |
| Authorized Official Contact | 8088453911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 634 Kalihi Medical And Wellness Clinic, Llc 634 Kalihi St. Honolulu HI 96819 Ph: (808) 845-3911 | 634 Kalihi Medical And Wellness Clinic, Llc 634 Kalihi St. Honolulu HI 96819 Ph: (808) 845-3911 |
| NPI Number | 1295487882 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295487882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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