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OMNICARE MEDICAL CLINICINC NPI 1275716540


NPI Information

NPI: 1275716540
Provider Name: OMNICARE MEDICAL CLINIC,INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1481 S KING ST
SUITE 422
HONOLULU, HI
ZIP 96814
Phone: (808) 955-7117
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OMNICARE MEDICAL CLINIC,INC is a general practice in Honolulu, HI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OMNICARE MEDICAL CLINIC,INC NPI is 1275716540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1481 S KING ST
SUITE 422
HONOLULU, HI
ZIP 96814-506
Phone: (808) 955-7117
Fax: (808) 955-7138

The provider's authorized official is Raymond Kang .
The authorized official title is President and has the following contact phone number (808) 955-7117.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/10/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice9018HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H0000BDXTLMEDICARE PINHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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