Organization
WAIKIKI HEALTH
Active
Parent organization
WAIKIKI HEALTH
Other names
Mobile Medical Unit 2, Waikiki Health
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
Mailing address
277 OHUA AVE, HONOLULU, HI 96815-3695
(808) 922-4787
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1FDUF5GN5LED42948
VEHICLE REGISTRATION NUMBER
HI
Enumeration date
11/01/2021
Last updated
12/22/2021
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