| Kalino Llc | |
|
1301 Punchbowl Street Honolulu HI 96813 | |
| (808) 523-9363 | |
| (808) 523-9418 |
| Full Name | Kalino Llc |
|---|---|
| Speciality | General Practice |
| Location | 1301 Punchbowl Street, Honolulu, Hawaii |
| Authorized Official Name and Position | Lawrence Burgess (MEMBER) |
| Authorized Official Contact | 8085239363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalino Llc 820 Mililani Street Suite 702a Honolulu HI 96813 Ph: (808) 523-9363 | Kalino Llc 1301 Punchbowl Street Honolulu HI 96813 Ph: (808) 523-9363 |
| NPI Number | 1821347717 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Medicare PECOS PAC ID | 4082863709 |
|---|---|
| Medicare Enrollment ID | O20121012000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821347717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Hawaii) | Primary |
| Provider Name | Lawrence P Burgess |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689636953 PECOS PAC ID: 4183510191 Enrollment ID: I20040405001094 |
| Provider Name | Lenhanh P Tran |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801840376 PECOS PAC ID: 5597654939 Enrollment ID: I20040618001315 |
| Provider Name | Kristi Adachi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134232085 PECOS PAC ID: 1557263126 Enrollment ID: I20040804000566 |
| Provider Name | Seung Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750313011 PECOS PAC ID: 3476524398 Enrollment ID: I20040804000714 |
| Provider Name | Alfred J Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730139122 PECOS PAC ID: 7214962398 Enrollment ID: I20050927001494 |
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