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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU LLC NPI 1407391824


NPI Information

NPI: 1407391824
Provider Name: PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 12D1066452

Address:
1310 PUNAHOU ST
HONOLULU, HI
ZIP 96826
Phone: (808) 951-3715
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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC is a prosthetic orthotic supplier in Honolulu, HI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC NPI is 1407391824. The provider is registered as an organization entity type.

The provider's business location address is:

1310 PUNAHOU ST
HONOLULU, HI
ZIP 96826-027
Phone: (808) 951-3715
Fax: (808) 951-3775

The provider's authorized official is Kenneth A Mandler .
The authorized official title is Director Of O&p and has the following contact phone number (808) 951-3715.

The CLIA number assigned to this NPI record is 12D1066452 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.


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
1335E00000XProsthetic/Orthotic SupplierYes

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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