PACIFIC MEDICAL GROUP LLC NPI 1811353998

NPI Information

  • NPI: 1811353998
  • Provider Name: PACIFIC MEDICAL GROUP LLC
  • Classification: Clinical Nurse Specialist - 364SA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 95 LONO AVE STE 105
    KAHULUI, HI
    ZIP 96732
  • Phone: (808) 873-0733

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NPI Details

PACIFIC MEDICAL GROUP LLC is an adult health clinical nurse specialist in Kahului, HI. PACIFIC MEDICAL GROUP LLC NPI is 1811353998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

95 LONO AVE STE 105
KAHULUI, HI
ZIP 96732-610
Phone: (808) 873-0733

The provider's authorized official is Eric Wruck .
The authorized official title is Owner and has the following contact phone number (808) 873-0733.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NX0100XChiropractorOccupational HealthDC-726HAWAIINo
2364SA2200XClinical Nurse SpecialistAdult HealthRN24680HAWAIIYes

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: 11/21/2025

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