| Pacific Centre For Family Health And Wellness Corp | |
|
4725 Bougainville Dr Pmb528 Honolulu HI 96818-3179 | |
| (808) 292-0763 | |
| (414) 247-9004 |
| Full Name | Pacific Centre For Family Health And Wellness Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 4725 Bougainville Dr, Honolulu, Hawaii |
| Authorized Official Name and Position | Fred Lee Goldblatt (PRESIDENT) |
| Authorized Official Contact | 8082920763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Centre For Family Health And Wellness Corp 4725 Bougainville Dr Pmb528 Honolulu HI 96818-3179 Ph: (808) 292-0763 | Pacific Centre For Family Health And Wellness Corp 4725 Bougainville Dr Pmb528 Honolulu HI 96818-3179 Ph: (808) 292-0763 |
| NPI Number | 1285876193 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285876193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DOS-515 (Hawaii) | Primary |
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