NPI | 1134898042 |
---|---|
Doing Business As | WAIKIKI HEALTH |
Entity Type | Organization |
Authorized Contact | JAMES T MARUYAMA Compliance Officer 808-537-8418 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2021-09-13 |