Provider Demographics
NPI:1639561343
Name:KALIHI KAI URGENT CARE LLC
Entity Type:Organization
Organization Name:KALIHI KAI URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIDA
Authorized Official - Middle Name:T R
Authorized Official - Last Name:CABANILLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-779-3655
Mailing Address - Street 1:94-216 FARRINGTON HWY # B2-106
Mailing Address - Street 2:SUITE 313
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1922
Mailing Address - Country:US
Mailing Address - Phone:808-779-3655
Mailing Address - Fax:
Practice Address - Street 1:2070 N KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3481
Practice Address - Country:US
Practice Address - Phone:808-779-3655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care