| Hawaii Pacific Neuroscience Llc | |
|
2230 Liliha St Ste 104 Honolulu HI 96817-7357 | |
| (808) 261-4476 | |
| (808) 263-4476 |
| Full Name | Hawaii Pacific Neuroscience Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2230 Liliha St Ste 104, Honolulu, Hawaii |
| Authorized Official Name and Position | Kore K Liow (SOLE OWNER) |
| Authorized Official Contact | 8082614476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Pacific Neuroscience Llc 2230 Liliha St Ste 104 Honolulu HI 96817-7357 Ph: (808) 261-4476 | Hawaii Pacific Neuroscience Llc 2230 Liliha St Ste 104 Honolulu HI 96817-7357 Ph: (808) 261-4476 |
| NPI Number | 1043442908 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Medicare PECOS PAC ID | 8628113453 |
|---|---|
| Medicare Enrollment ID | O20100311000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043442908 | NPI | - | NPPES |
| 00A0288512 | Other | HI | HMSA |
| 637233 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD12149 (Hawaii) | Primary |
| Provider Name | Jason Chang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891988408 PECOS PAC ID: 1355418039 Enrollment ID: I20080922000538 |
| Provider Name | Kore K Liow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366445306 PECOS PAC ID: 5294795316 Enrollment ID: I20090716000548 |
| Provider Name | Paul J Smith |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1639205206 PECOS PAC ID: 4880862986 Enrollment ID: I20110715000208 |
| Provider Name | Jason Charles Viereck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205898202 PECOS PAC ID: 3577610161 Enrollment ID: I20170807001348 |
| Provider Name | Vimala Vajjala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376902536 PECOS PAC ID: 1850643503 Enrollment ID: I20200116002183 |
| Provider Name | Sriharsha Vajjala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417202201 PECOS PAC ID: 9537458211 Enrollment ID: I20200218001843 |
| Provider Name | Christopher A Larrinaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952819468 PECOS PAC ID: 8426311846 Enrollment ID: I20220204001271 |
| Provider Name | Nicholas W Anderson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1700443777 PECOS PAC ID: 9133507445 Enrollment ID: I20231002000152 |
| Provider Name | Qi Zhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003683194 PECOS PAC ID: 1951742188 Enrollment ID: I20240517003432 |
Hawaii Pacific Neuroscience Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 Liliha St Ste 104, Honolulu, HI 96817 Phone: 808-261-4476 Fax: 808-263-4476 | |
Emily L. Shiraishi, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 W Hind Dr, Suite 110, Honolulu, HI 96821 Phone: 808-321-8482 | |
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Boyd. J. Slomoff M.d. Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 S. King Street, Suite #980, Honolulu, HI 96813 Phone: 808-551-5168 Fax: 808-521-8046 | |
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