| Kristi T Lopez Md Inc | |
|
321 N Kuakini St Ste 714 Honolulu HI 96817 | |
| (808) 741-3037 | |
| Not Available |
| Full Name | Kristi T Lopez Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 N Kuakini St Ste 714, Honolulu, Hawaii |
| Authorized Official Name and Position | Kristi T Lopez (OWNER) |
| Authorized Official Contact | 8085612398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi T Lopez Md Inc 321 N Kuakini St Ste 714 Honolulu HI 96817-2362 Ph: (808) 741-3037 | Kristi T Lopez Md Inc 321 N Kuakini St Ste 714 Honolulu HI 96817 Ph: (808) 741-3037 |
| NPI Number | 1942798640 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 06/14/2018 |
| Medicare PECOS PAC ID | 1355697517 |
|---|---|
| Medicare Enrollment ID | O20180702002757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942798640 | NPI | - | NPPES |
| 1184887846 | Other | TYPE 1 NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD-16308 (Hawaii) | Primary |
| Provider Name | Kristi T Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184887846 PECOS PAC ID: 2466696042 Enrollment ID: I20150812008596 |
| Provider Name | Donita K Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669964474 PECOS PAC ID: 9537594502 Enrollment ID: I20200122001071 |
| Provider Name | Yuka Usui Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142097 PECOS PAC ID: 0648671222 Enrollment ID: I20210702002018 |
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