Ala Moana Walk-In Medical Clinic, Inc
NPI 1871157628ActiveOrganization· Nurse Practitioner· Honolulu, HI
Nurse Practitioner in Honolulu, Hawaii, registered in NPPES in April 2019. The authorized official on file is Jae Hwan Kim, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871157628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2019 |
| Last updated in NPPES | Jul 11, 2020 |
| Certified by provider | Jul 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (HI) |
|---|
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