Graduated: 2006
NPI: 1477964104
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN INC
67-1185 MAMALAHOA HWY
KAMUELA, HI 967437304
8089334560
KAISER FOUNDATION HEALTH PLAN INC
599 FARRINGTON HWY
KAPOLEI, HI 967072028
8084323668
Source: CMS National Downloadable File, September 2026.