| Imua Orthopedics, Sports & Health | |
|
1010 S King St Suite 401 Honolulu HI 96814-1701 | |
| (808) 521-8170 | |
| Not Available |
| Full Name | Imua Orthopedics, Sports & Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 S King St, Honolulu, Hawaii |
| Authorized Official Name and Position | Elizabeth M Ignacio (MANAGER) |
| Authorized Official Contact | 8085218170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imua Orthopedics, Sports & Health 1010 S King St Suite 401 Honolulu HI 96814-1701 Ph: (808) 521-8170 | Imua Orthopedics, Sports & Health 1010 S King St Suite 401 Honolulu HI 96814-1701 Ph: (808) 521-8170 |
| NPI Number | 1497005219 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 1850543497 |
|---|---|
| Medicare Enrollment ID | O20121206000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497005219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | W59844642-01 (Hawaii) | Primary |
| Provider Name | Elizabeth M Ignacio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225061674 PECOS PAC ID: 9234128539 Enrollment ID: I20061201000097 |
| Provider Name | Nicole Y Gesik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427224070 PECOS PAC ID: 7214186808 Enrollment ID: I20120925000289 |
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