Ka Wai Ola Family Medical Clinic, LLC
Family Medicine in Waipahu, HI. Organization (NPI-2).
NPI number1023257524
StatusActive
Last updated in NPPESFeb 7, 2009
Details
- NPI
- 1023257524
- Entity type
- Organization (NPI-2)
- Legal business name
- Ka Wai Ola Family Medical Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2009
- Last updated
- Feb 7, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD13464 | HI | Yes |
Practice location
94-849 Lumiaina StWaikele Professional Center Suite #207
Waipahu, HI 96797-5025
Phone 808-286-7390
Mailing address
94-849 Lumiaina StWaikele Professional Center Suite #207
Waipahu, HI 96797-5025
Phone 808-286-7390
Authorized official
Timothy S. Hiura
Partner/Owner
8082867390
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