634 Kalihi Medical and Wellness Clinic, LLC
NPI 1295487882ActiveOrganization· General Practice· Honolulu, HI
General Practice in Honolulu, Hawaii, registered in NPPES in January 2022, part of 634 Kalihi Medical and Wellness Clinic, LLC. The authorized official on file is Rodrigo Gose Bristol, MD, M.D.
Overview
| NPI | 1295487882 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 634 Kalihi Medical and Wellness Clinic, LLC |
| NPI issued | Jan 25, 2022 |
| Last updated in NPPES | Jan 25, 2022 |
| Certified by provider | Jan 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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