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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: July 19, 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
Phone(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
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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

What is 634 KALIHI MEDICAL AND WELLNESS CLINIC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1295487882, enumerated as an "organization" on January 25, 2022.

Where is the provider located?

The provider is located at 634 KALIHI ST. HONOLULU, HI 96819 and the phone number is (808) 845-3911.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.