634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC – NPI #1295487882
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC is a provider located in HONOLULU, HI. NPPES has assigned the NPI number 1295487882 to 634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC on January 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC below.

NPI Profile for
634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC

NPI Number
1295487882
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC
Primary location
634 KALIHI ST.
HONOLULU, HI 96819
Phone: (808) 845-3911 Fax: (808) 848-0870
Mailing address
Same as primary location
Organization Subpart
Yes - 634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC is subpart of another organization.
Authorized Official
RODRIGO BRISTOL
M.D.
Phone: (808) 845-3911
Updated
Certification Date
Jan 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.