| Kona Kohala Medi Cal Associates | |
|
75-137 Hualalai Rd Kailua Kona HI 96740-1703 | |
| (808) 329-1346 | |
| (808) 329-1575 |
| Full Name | Kona Kohala Medi Cal Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 75-137 Hualalai Rd, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Richard A. Pekala (PRESIDENT) |
| Authorized Official Contact | 8083291346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kona Kohala Medi Cal Associates 75-137 Hualalai Rd Kailua Kona HI 96740-1703 Ph: (808) 329-1346 | Kona Kohala Medi Cal Associates 75-137 Hualalai Rd Kailua Kona HI 96740-1703 Ph: (808) 329-1346 |
| NPI Number | 1407928492 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/04/2014 |
| Medicare PECOS PAC ID | 7214910991 |
|---|---|
| Medicare Enrollment ID | O20040611001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407928492 | NPI | - | NPPES |
| 00A0026490 | Other | HI | HAWAII MEDICAL SVC ASSOC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Donald Nikaitani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700811718 PECOS PAC ID: 7618165911 Enrollment ID: I20110103000124 |
| Provider Name | Richard A Pekala |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336174341 PECOS PAC ID: 5890983183 Enrollment ID: I20110103000235 |
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Kona Aloha Dental Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy Ste B203, Kailua Kona, HI 96740 Phone: 808-329-6167 | |
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