Basic Information
| Provider Information | |||||||||
| NPI: | 1750511697 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEKIGUCHI | ||||||||
| FirstName: | KENJI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1423 LUSITANA ST | ||||||||
| Address2: | 7TH FLOOR | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 96813 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1356 LUSITANA ST | ||||||||
| Address2: | 7TH FLOOR | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968132421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085862910 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2009 | ||||||||
| LastUpdateDate: | 07/24/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MDR-5676 | HI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.