# KAISER FOUNDATION HEALTH PLAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser Permanente Mapunapuna Clinic Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093881641
- **Authorized official:** JAMES G. ADAMS JR. (EXECUTIVE DIRECTOR, FINANCE LEADER)
- **Authorized official phone:** (808) 286-6758

## Contact information

- **Practice address:** 2828 PAA ST, HONOLULU, HI 96819-4430
- **Practice address phone:** (808) 432-5738
- **Practice address fax:** (808) 432-5730
- **Mailing address:** 711 KAPIOLANI BLVD, BILLING DEPARTMENT, HONOLULU, HI 96813-5214
- **Mailing address phone:** (808) 432-5312
- **Mailing address fax:** (808) 432-5239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | FSOF-8 | HI | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 11/10/2020