Provider Demographics
NPI:1184827420
Name:DANIEL C.H. KIDANI M.D. LLC
Entity Type:Organization
Organization Name:DANIEL C.H. KIDANI M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CURTIS HIROMI
Authorized Official - Last Name:KIDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-497-3639
Mailing Address - Street 1:3825 W GARDEN GROVE BLVD
Mailing Address - Street 2:APT. #38
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4855
Mailing Address - Country:US
Mailing Address - Phone:808-497-3639
Mailing Address - Fax:
Practice Address - Street 1:4424 KILAUEA AVE
Practice Address - Street 2:HONOLULU
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5115
Practice Address - Country:US
Practice Address - Phone:808-497-3639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14137207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty