Clayton Y Gushiken, Od, Fcovd, Inc. | |
2353 S Beretania St Suite 101 Honolulu HI 96826-1400 | |
(808) 941-3811 | |
(808) 951-4063 |
Full Name | Clayton Y Gushiken, Od, Fcovd, Inc. |
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Speciality | Clinic/center |
Location | 2353 S Beretania St, Honolulu, Hawaii |
Authorized Official Name and Position | Clayton Y. Gushiken (PRESIDENT) |
Authorized Official Contact | 8089413811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clayton Y Gushiken, Od, Fcovd, Inc. 2353 S Beretania St Suite 101 Honolulu HI 96826-1400 Ph: (808) 941-3811 | Clayton Y Gushiken, Od, Fcovd, Inc. 2353 S Beretania St Suite 101 Honolulu HI 96826-1400 Ph: (808) 941-3811 |
NPI Number | 1780860544 |
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Provider Enumeration Date | 01/11/2008 |
Last Update Date | 01/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780860544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OD-179 (Hawaii) | Primary |
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