| Central Oahu Medical Group | |
|
302 California Ave Ste 210 Wahiawa HI 96786-1841 | |
| (808) 927-0183 | |
| Not Available |
| Full Name | Central Oahu Medical Group |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 302 California Ave Ste 210, Wahiawa, Hawaii |
| Authorized Official Name and Position | Alan Kojima (OWNER) |
| Authorized Official Contact | 8089270183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oahu Medical Group 302 California Ave Ste 210 Wahiawa HI 96786-1841 Ph: (808) 927-0183 | Central Oahu Medical Group 302 California Ave Ste 210 Wahiawa HI 96786-1841 Ph: (808) 927-0183 |
| NPI Number | 1235727561 |
|---|---|
| Provider Enumeration Date | 01/03/2021 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 9032513916 |
|---|---|
| Medicare Enrollment ID | O20210816000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235727561 | NPI | - | NPPES |
| 1427461268 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| Provider Name | Alan K Kojima |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427461268 PECOS PAC ID: 5799079083 Enrollment ID: I20210830001927 |
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