Graduated: 1985
NPI: 1902844236
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN INC
1010 PENSACOLA ST
HONOLULU, HI 968142118
8084322160
KAISER FOUNDATION HEALTH PLAN INC
599 FARRINGTON HWY
KAPOLEI, HI 967072028
8084323668
Source: CMS National Downloadable File, September 2026.