Organization
KAISER FOUNDATION HEALTH PLAN
Active
Other names
Kaiser Moanalua Clinic Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J. RISSE (CHIEF FINANCIAL OFFICER)
(808) 432-5276
Entity
Organization
Contact information
Practice address
3288 MOANALUA RD, RADIOLOGY DEPARTMENT, HONOLULU, HI 96819-1469
(808) 432-7341
(808) 432-7340
Mailing address
711 KAPIOLANI BLVD, BILLING DEPARTMENT, HONOLULU, HI 96813-5214
(808) 432-5312
(808) 432-5239
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
150623
HI
Other
Enumeration date
09/07/2006
Last updated
11/25/2014
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