| Ka Wai Ola Family Medical Clinic, Llc | |
|
94-849 Lumiaina St Waikele Professional Center Suite #207 Waipahu HI 96797-5025 | |
| (808) 286-7390 | |
| Not Available |
| Full Name | Ka Wai Ola Family Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 94-849 Lumiaina St, Waipahu, Hawaii |
| Authorized Official Name and Position | Timothy S. Hiura (PARTNER/OWNER) |
| Authorized Official Contact | 8082867390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ka Wai Ola Family Medical Clinic, Llc 94-849 Lumiaina St Waikele Professional Center Suite #207 Waipahu HI 96797-5025 Ph: (808) 286-7390 | Ka Wai Ola Family Medical Clinic, Llc 94-849 Lumiaina St Waikele Professional Center Suite #207 Waipahu HI 96797-5025 Ph: (808) 286-7390 |
| NPI Number | 1023257524 |
|---|---|
| Provider Enumeration Date | 02/07/2009 |
| Last Update Date | 02/07/2009 |
| Medicare PECOS PAC ID | 6103975008 |
|---|---|
| Medicare Enrollment ID | O20090904000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023257524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD13464 (Hawaii) | Primary |
| Provider Name | James K Okamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073596250 PECOS PAC ID: 8527113075 Enrollment ID: I20110106000333 |
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