PACIFIC ASC LLC NPI 1043502792

NPI Information

PACIFIC ASC LLC is an ambulatory surgical clinic center in Honolulu, HI. PACIFIC ASC LLC NPI is 1043502792. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Surgery Center Of Hawaii.

The provider's business location address is:

650 IWILEI RD
SPACE #225
HONOLULU, HI
ZIP 96817-086
Phone: (808) 949-2208
Fax: (808) 949-2209

The provider's authorized official is Douglas M Tonokawa .
The authorized official title is Member and has the following contact phone number (808) 949-2208.

The CLIA number assigned to this NPI record is 12D2032174 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 5/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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