Island Pacific Medical Center | |
1441 Kapiolani Blvd Ste 416 Honolulu HI 96814-4400 | |
(808) 375-6638 | |
Not Available |
Full Name | Island Pacific Medical Center |
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Speciality | General Practice |
Location | 1441 Kapiolani Blvd Ste 416, Honolulu, Hawaii |
Authorized Official Name and Position | Alan I Wu (CEO) |
Authorized Official Contact | 8086919025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Island Pacific Medical Center 1441 Kapiolani Blvd Ste 416 Honolulu HI 96814-4400 Ph: (808) 691-9025 | Island Pacific Medical Center 1441 Kapiolani Blvd Ste 416 Honolulu HI 96814-4400 Ph: (808) 375-6638 |
NPI Number | 1275306300 |
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Provider Enumeration Date | 10/31/2023 |
Last Update Date | 03/15/2024 |
Medicare PECOS PAC ID | 6608215181 |
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Medicare Enrollment ID | O20240417000002 |
Identifier | Type | State | Issuer |
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1275306300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Alan I Wu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013116128 PECOS PAC ID: 4880846971 Enrollment ID: I20151005001277 |
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