| 21st Century Healthcare Llc Llc | |
|
302 California Ave Suite 209 Wahiawa HI 96786-1841 | |
| (808) 622-2655 | |
| (808) 622-5599 |
| Full Name | 21st Century Healthcare Llc Llc |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 302 California Ave, Wahiawa, Hawaii |
| Authorized Official Name and Position | Arlene Dorothy Meyers (MEMBER) |
| Authorized Official Contact | 8086222655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Century Healthcare Llc Llc 302 California Ave Suite 209 Wahiawa HI 96786-1841 Ph: (808) 622-2655 | 21st Century Healthcare Llc Llc 302 California Ave Suite 209 Wahiawa HI 96786-1841 Ph: (808) 622-2655 |
| NPI Number | 1104152743 |
|---|---|
| Provider Enumeration Date | 11/01/2009 |
| Last Update Date | 11/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104152743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Primary |
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