Provider Demographics
NPI:1154849453
Name:BATTSOOJ, KHONGORZUL
Entity Type:Individual
Prefix:
First Name:KHONGORZUL
Middle Name:
Last Name:BATTSOOJ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KOR
Other - Middle Name:
Other - Last Name:BATTSOOJ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:615 PIIKOI ST, SUITE 203
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-589-1829
Mailing Address - Fax:
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:203
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-589-1829
Practice Address - Fax:808-589-2610
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor