| Tide Osteopathy, Llc | |
|
320 Uluniu St Ste 2 Kailua HI 96734-2529 | |
| (808) 721-5410 | |
| Not Available |
| Full Name | Tide Osteopathy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 Uluniu St Ste 2, Kailua, Hawaii |
| Authorized Official Name and Position | Love Volkova (PHYSICIAN) |
| Authorized Official Contact | 8087212629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tide Osteopathy, Llc 111 Hekili St Ste A504 Kailua HI 96734-2800 Ph: (808) 721-2629 | Tide Osteopathy, Llc 320 Uluniu St Ste 2 Kailua HI 96734-2529 Ph: (808) 721-5410 |
| NPI Number | 1679294250 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 6103295290 |
|---|---|
| Medicare Enrollment ID | O20221212003048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679294250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Love Volkova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194011403 PECOS PAC ID: 7618260514 Enrollment ID: I20160729002231 |
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