| Organization Name: | OHANA KAUKA, INC. |
| NPI Number: | 1073619011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM SCOTT MANDEL (CEO) |
| Mailing Address: | 82-6123 Mamalahoa Hwy Top Floor Captain Cook |
| State: | HI US |
| Postal Code: | 967048203 |
| Phone Number: | 8083238200 |
| Fax Number: | 8083238400 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 3644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |