| Westgate Medical Center | |
|
94-370 Pupupani St Waipahu HI 96797-2657 | |
| (888) 589-2259 | |
| Not Available |
| Full Name | Westgate Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 94-370 Pupupani St, Waipahu, Hawaii |
| Authorized Official Name and Position | Lulumafuie Fiatoa (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8885892259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Medical Center 94-370 Pupupani St Waipahu HI 96797-2657 Ph: (888) 589-2259 | Westgate Medical Center 94-370 Pupupani St Waipahu HI 96797-2657 Ph: (888) 589-2259 |
| NPI Number | 1366795635 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366795635 | NPI | - | NPPES |
| 01723602 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD5016 (Hawaii) | Primary |
| 208000000X | Pediatrics | MD5016 (Hawaii) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 14877 (Hawaii) | Secondary |
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