Provider Demographics
NPI:1437554615
Name:EKAHI INTEGRATED PRACTICES WEST LLC
Entity Type:Organization
Organization Name:EKAHI INTEGRATED PRACTICES WEST LLC
Other - Org Name:EKAHI INTEGRATED PRACTICES WEST - 100
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-948-9552
Mailing Address - Street 1:94-837 WAIPAHU ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3320
Mailing Address - Country:US
Mailing Address - Phone:808-671-3911
Mailing Address - Fax:
Practice Address - Street 1:1585 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 1740
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4522
Practice Address - Country:US
Practice Address - Phone:808-948-9588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EKAHI HEALTH SYSTEMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-29
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty