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Organization
KAISER FOUNDATION HEALTH PLAN
Active
Organization
KAISER FOUNDATION HEALTH PLAN
Active
Other names
Kaiser Moanalua Clinic Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J. RISSE (CHIEF FINANCIAL OFFICER)
(808) 432-5276
Entity
Organization
Contact information
Practice address
3288 MOANALUA RD, RADIOLOGY DEPARTMENT, HONOLULU, HI 96819-1469
(808) 432-7341
(808) 432-7340
Mailing address
711 KAPIOLANI BLVD, BILLING DEPARTMENT, HONOLULU, HI 96813-5214
(808) 432-5312
(808) 432-5239
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
150623
HI
Other
Enumeration date
09/07/2006
Last updated
11/25/2014
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