# SIMON B KIM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972704476
- **Authorized official:** ANNETTE MOANANU (MEDICAL BILLER)
- **Authorized official phone:** (808) 536-0300

## Contact information

- **Practice address:** 1441 KAPIOLANI BLVD, SUITE 606, HONOLULU, HI 96814-4402
- **Practice address phone:** (808) 951-9931
- **Practice address fax:** (808) 951-9930
- **Mailing address:** PO BOX 25370, HONOLULU, HI 96825-0370
- **Mailing address phone:** (808) 536-0314
- **Mailing address fax:** (808) 536-0320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD13022 | HI | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020