Simon B Kim LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD13022 Issued in HI

Legal business name

SIMON B KIM LLC

Practice address

1441 Kapiolani Blvd
Suite 606
Honolulu, HI 96814-4402

Phone

(808) 951-9931

Fax

(808) 951-9930

NPI assigned

May 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annette Moananu

Title

Medical Biller

Phone

(808) 536-0300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972704476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0314",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 606",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-951-9931",
            "fax_number": "808-951-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON B KIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOANANU",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "808-536-0300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD13022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Colleen Simmons
• Samuel Austin Simmons, DDS
• Sylvia Hisako Simmons, C.O.T.A.
• Tamika Simmons
• Joan Christel Marcial Simms, APRN
• Simon K Chang MD LLC
• Camilla N Simon, APRN
• Haley Simon, BEHAVIOR TECHNICIAN
• Imrusty Simon, RBT
• Wendy Simonetti, LCSW, CSAC

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.