| Kapolei Family Medical Center, Inc. | |
|
590 Farrington Hwy Suite 526a Kapolei HI 96707-2009 | |
| (808) 674-2930 | |
| Not Available |
| Full Name | Kapolei Family Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 590 Farrington Hwy, Kapolei, Hawaii |
| Authorized Official Name and Position | Jonathan Kim (VICE PRESIDENT) |
| Authorized Official Contact | 8086742930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kapolei Family Medical Center, Inc. 590 Farrington Hwy Suite 526a Kapolei HI 96707-2009 Ph: (808) 674-2930 | Kapolei Family Medical Center, Inc. 590 Farrington Hwy Suite 526a Kapolei HI 96707-2009 Ph: (808) 674-2930 |
| NPI Number | 1275605743 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 04/04/2011 |
| Medicare PECOS PAC ID | 7315836202 |
|---|---|
| Medicare Enrollment ID | O20040310001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275605743 | NPI | - | NPPES |
| 50100815 | Medicaid | HI | |
| 52141018 | Medicaid | HI | |
| H55656 | Other | HI | MEDICARE ID PTAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD12184 (Hawaii) | Primary |
| Provider Name | Bradley K Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366508277 PECOS PAC ID: 9638068539 Enrollment ID: I20040416001446 |
| Provider Name | Jonathan T Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629281225 PECOS PAC ID: 4082503982 Enrollment ID: I20040826000216 |
| Provider Name | Tracie F Hata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912065285 PECOS PAC ID: 0749229144 Enrollment ID: I20120220000911 |
Keiki Korner Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Kamokila Blvd, Suite 197, Kapolei, HI 96707 Phone: 808-674-9600 Fax: 808-674-9700 | |
Kapolei Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 599 Farrington Hwy, Bldg#1, Unit 100, Kapolei, HI 96707 Phone: 808-697-3300 Fax: 808-697-3687 | |
Island Functional Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Lauwiliwili St Ste 12, Kapolei, HI 96707 Phone: 808-465-3000 Fax: 808-465-3574 | |
Coralie A.k. Texeira, M.d. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707 Phone: 808-670-6458 | |
Barbara A. D'anna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Lauwiliwili St, Suite 23, Kapolei, HI 96707 Phone: 808-772-1199 | |
The Family Doctor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Kamokila Blvd Ste 181, Kapolei, HI 96707 Phone: 808-375-7445 |