| Geriatric Psychiatry Services Of Hawaii Llc | |
|
1296 Kapiolani Blvd Apt 3004 Honolulu HI 96814-2886 | |
| (808) 285-9271 | |
| Not Available |
| Full Name | Geriatric Psychiatry Services Of Hawaii Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1296 Kapiolani Blvd Apt 3004, Honolulu, Hawaii |
| Authorized Official Name and Position | Brett Lu (MANAGER) |
| Authorized Official Contact | 8082859271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Psychiatry Services Of Hawaii Llc 1296 Kapiolani Blvd Apt 3004 Honolulu HI 96814-2886 Ph: () - | Geriatric Psychiatry Services Of Hawaii Llc 1296 Kapiolani Blvd Apt 3004 Honolulu HI 96814-2886 Ph: (808) 285-9271 |
| NPI Number | 1417293200 |
|---|---|
| Provider Enumeration Date | 12/25/2012 |
| Last Update Date | 12/25/2012 |
| Medicare PECOS PAC ID | 2163667072 |
|---|---|
| Medicare Enrollment ID | O20130326000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417293200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MD14198 (Hawaii) | Primary |
| Provider Name | Brett Y Lu |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1649331760 PECOS PAC ID: 3678517042 Enrollment ID: I20070717000130 |
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