Organization
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Active
Other names
Gulick Elder Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DERAUF M.D., MPH (EXECUTIVE DIRECTOR)
(808) 791-9400
Entity
Organization
Contact information
Practice address
1846 GULICK AVENUE, HONOLULU, HI 96819
(808) 848-0977
(808) 848-8689
Mailing address
2239 N SCHOOL ST, HONOLULU, HI 96819-2539
(808) 791-9413
(808) 848-0979
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QH100X
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00992101
—
HI
01
—
121838
MEDICARE ID
HI
Enumeration date
05/03/2007
Last updated
03/03/2026
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