| Cachola Medical Clinic | |
|
936 Kalihi St Honolulu HI 96819-4069 | |
| (808) 845-9955 | |
| (808) 845-1783 |
| Full Name | Cachola Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 936 Kalihi St, Honolulu, Hawaii |
| Authorized Official Name and Position | Erlinda M. Cachola (MANAGING MEMBER) |
| Authorized Official Contact | 8088459955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cachola Medical Clinic 936 Kalihi St Honolulu HI 96819-4069 Ph: (808) 845-9955 | Cachola Medical Clinic 936 Kalihi St Honolulu HI 96819-4069 Ph: (808) 845-9955 |
| NPI Number | 1831341213 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 10/16/2008 |
| Medicare PECOS PAC ID | 7012079130 |
|---|---|
| Medicare Enrollment ID | O20081229000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831341213 | NPI | - | NPPES |
| 569593 | Medicaid | HI | |
| 03439601 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Hawaii) | Primary |
| Provider Name | Lyla M Prather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386721009 PECOS PAC ID: 6901839075 Enrollment ID: I20050919000325 |
| Provider Name | Erlinda M Cachola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861570939 PECOS PAC ID: 0840217485 Enrollment ID: I20051102000068 |
| Provider Name | Imnas B Macabugao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225793805 PECOS PAC ID: 6406247154 Enrollment ID: I20220106002650 |
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