Provider Demographics
NPI:1467326892
Name:OHANA MEDICAL LLC
Entity type:Organization
Organization Name:OHANA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FAMILY PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KWONG-YAO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-704-8510
Mailing Address - Street 1:13111 E BRIARWOOD AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3925
Mailing Address - Country:US
Mailing Address - Phone:720-704-5644
Mailing Address - Fax:720-912-2854
Practice Address - Street 1:13111 E BRIARWOOD AVE STE 120
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3925
Practice Address - Country:US
Practice Address - Phone:720-704-5644
Practice Address - Fax:720-912-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty