Organization
634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC
Active
Parent organization
634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC
Authorized official
RODRIGO GOSE BRISTOL MD (M.D.)
(808) 845-3911
Entity
Organization
Contact information
Practice address
634 KALIHI ST., HONOLULU, HI 96819
(808) 845-3911
(808) 848-0870
Mailing address
634 KALIHI ST., HONOLULU, HI 96819
(808) 845-3911
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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