| Dr Brent H Matsumoto, MD | |
|
94-1480 Moaniani St, Waipahu, HI 96797-4632 | |
| (808) 432-3100 | |
| Not Available |
| Full Name | Dr Brent H Matsumoto |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 94-1480 Moaniani St, Waipahu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750462206 | NPI | - | NPPES |
| 540329-01 | Medicaid | HI | |
| 0000242784 | Other | HI | HMSA BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD-12511 (Hawaii) | Primary |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent H Matsumoto, MD 94-1480 Moaniani St, Waipahu, HI 96797-4632 Ph: (808) 432-3100 | Dr Brent H Matsumoto, MD 94-1480 Moaniani St, Waipahu, HI 96797-4632 Ph: (808) 432-3100 |
Angelica Rose Martinez Flores, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 94-121 Pupukahi St Apt A, Waipahu, HI 96797 Phone: 808-861-1053 | |
Dr. James C. W. Yee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 94-1480 Moaniani St, Waipahu, HI 96797 Phone: 808-432-3100 | |
Dr. Marsha J. Marumoto, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 94-1480 Moaniani St, Waipahu, HI 96797 Phone: 808-432-3100 | |
Theresa Young Wee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 94-1388 Moaniani Street, Suite 207, Waipahu, HI 96797 Phone: 808-677-9988 Fax: 808-671-5559 | |
Perlita Bolosan Lampitoc, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 94-235 Hanawai Cir, Waipahu, HI 96797 Phone: 808-671-8539 Fax: 808-671-1681 | |
Kelly Y. Kawaoka, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 94-1480 Moaniani St, Waipahu, HI 96797 Phone: 808-432-3100 | |
Dr. Benilda Castillo Luz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 94-307 Farrington Hwy, Ste. B3, Waipahu, HI 96797 Phone: 808-677-5022 Fax: 808-677-8702 |