Organization
WAIKIKI HEALTH
Active
Parent organization
WAIKIKI HEALTH
Other names
Mobile Medical Unit 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAIKIKI HEALTH
Authorized official
JAMES T MARUYAMA (COMPLIANCE OFFICER)
(808) 537-8418
Entity
Organization
Contact information
Practice address
277 OHUA AVE, HONOLULU, HI 96815-3695
(808) 922-4787
(808) 922-4950
Mailing address
277 OHUA AVE, HONOLULU, HI 96815-3695
(808) 537-8418
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1FDXE45S08DA04101
VEHICLE REGISTRATION NUMBER
HI
Enumeration date
11/01/2021
Last updated
12/22/2021
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