| Jeffrey M Lin Md Llc | |
|
321 N Kuakini St Ste 607 Honolulu HI 96817-2361 | |
| (808) 824-0411 | |
| (808) 523-5632 |
| Full Name | Jeffrey M Lin Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 321 N Kuakini St Ste 607, Honolulu, Hawaii |
| Authorized Official Name and Position | David Kobashigawa (OFFICE MANAGER) |
| Authorized Official Contact | 8085235623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M Lin Md Llc 321 N Kuakini St Ste 607 Honolulu HI 96817-2361 Ph: (808) 824-0411 | Jeffrey M Lin Md Llc 321 N Kuakini St Ste 607 Honolulu HI 96817-2361 Ph: (808) 824-0411 |
| NPI Number | 1316495013 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 2264720937 |
|---|---|
| Medicare Enrollment ID | O20161012001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316495013 | NPI | - | NPPES |
| MD-11056 | Other | HI | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-11056 (Hawaii) | Primary |
| Provider Name | Jeffrey M Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235224635 PECOS PAC ID: 4789665829 Enrollment ID: I20040526000001 |
| Provider Name | Mieko Suzuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750737458 PECOS PAC ID: 4880950898 Enrollment ID: I20171108000490 |
| Provider Name | John Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174004725 PECOS PAC ID: 6305178856 Enrollment ID: I20191101001453 |
| Provider Name | Kelsey Mieko Miyasato-tanioka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669188132 PECOS PAC ID: 3375908197 Enrollment ID: I20230501002643 |
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