# KA WAI OLA FAMILY MEDICAL CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KA WAI OLA FAMILY MEDICAL CLINIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558706960
- **Legal business name:** KA WAI OLA FAMILY MEDICAL CLINIC, LLC
- **Authorized official:** DR. JAMES K. OKAMOTO MD (MEMBER)
- **Authorized official phone:** (808) 677-8222

## Contact information

- **Practice address:** 94-849 LUMIAINA ST, UNIT 207, WAIPAHU, HI 96797-5677
- **Practice address phone:** (808) 677-8222
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 10/05/2015