| Cheri Tarutani Llc | |
|
94-1036 Waipio Uka St Ste 109 Waipahu HI 96797-4050 | |
| (808) 391-6078 | |
| Not Available |
| Full Name | Cheri Tarutani Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 94-1036 Waipio Uka St Ste 109, Waipahu, Hawaii |
| Authorized Official Name and Position | Cheri Tarutani (OWNER) |
| Authorized Official Contact | 8083916078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheri Tarutani Llc Po Box 235361 Honolulu HI 96823-3506 Ph: (808) 391-6078 | Cheri Tarutani Llc 94-1036 Waipio Uka St Ste 109 Waipahu HI 96797-4050 Ph: (808) 391-6078 |
| NPI Number | 1649981010 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Medicare PECOS PAC ID | 8729458567 |
|---|---|
| Medicare Enrollment ID | O20230112000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649981010 | NPI | - | NPPES |
| 0000310185 | Other | HI | HMSA |
| 14547043 | Other | HI | HWMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Cheri Tarutani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922384973 PECOS PAC ID: 9638549470 Enrollment ID: I20230113000319 |
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