634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC
NPI 1295487882
General Practice in Honolulu, HI

Active since January 25, 2022
634 KALIHI ST., HONOLULU, HI 96819(808) 845-3911(808) 848-0870 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 634 Kalihi Medical And Wellness Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC (NPI 1295487882) is a healthcare organization registered as a general practice in Honolulu, Hawaii and active in the NPI registry since January 2022. The organization lists Rodrigo Gose Bristol, M.d., as its authorized official.

NPPES Registry Identity

NPI1295487882
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business Name634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC
Location Address634 KALIHI ST.Honolulu, HI 96819
Mailing Address634 Kalihi St.Honolulu, HI 96819 · (808) 845-3911
Fax(808) 848-0870
Organization SubpartYes
Authorized OfficialRodrigo Gose BristolM.d. · (808) 845-3911
Enumeration DateJanuary 25, 2022
NPPES CertifiedJanuary 25, 2022
NPI 1295487882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
634 KALIHI ST., Honolulu, HI 96819

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 634 Kalihi Medical And Wellness Clinic, LLC's NPI number?

The NPI number for 634 Kalihi Medical And Wellness Clinic, LLC is 1295487882. It was assigned to this organization in the NPPES registry on January 25, 2022.

Where is 634 Kalihi Medical And Wellness Clinic, LLC located?

634 Kalihi Medical And Wellness Clinic, LLC is located at 634 Kalihi St., Honolulu, HI 96819. The listed phone number is (808) 845-3911.

What is 634 Kalihi Medical And Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for 634 Kalihi Medical And Wellness Clinic, LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.