Organization
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOU LEI CHAN (CHIEF FINANCIAL OFFICER)
(808) 791-9400
Entity
Organization
Contact information
Practice address
2239 N SCHOOL ST, HONOLULU, HI 96819-2539
(808) 791-9400
(808) 848-0979
Mailing address
2239 N SCHOOL ST, HONOLULU, HI 96819-2539
(808) 791-9400
(808) 848-0979
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
122300000X
Dentist
—
—
124Q00000X
Dental Hygienist
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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