| East Oahu Medical Center Inc | |
|
850 West Hind Dr Suite 110 Honolulu HI 96821-1845 | |
| (808) 373-5728 | |
| (808) 377-3432 |
| Full Name | East Oahu Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 850 West Hind Dr, Honolulu, Hawaii |
| Authorized Official Name and Position | Kristy S Hanzawa (OFFICE MANAGER) |
| Authorized Official Contact | 8083735728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Oahu Medical Center Inc 850 W Hind Dr Suite #110 Honolulu HI 96821-1855 Ph: (808) 373-5728 | East Oahu Medical Center Inc 850 West Hind Dr Suite 110 Honolulu HI 96821-1845 Ph: (808) 373-5728 |
| NPI Number | 1215090139 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 11/21/2011 |
| Medicare PECOS PAC ID | 1557325560 |
|---|---|
| Medicare Enrollment ID | O20041118000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215090139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | George H Seberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245394543 PECOS PAC ID: 9436114287 Enrollment ID: I20051010000934 |
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