| Boyd. J. Slomoff M.d. Inc. | |
|
220 S. King Street Suite #980 Honolulu HI 96813 | |
| (808) 551-5168 | |
| (808) 521-8046 |
| Full Name | Boyd. J. Slomoff M.d. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 220 S. King Street, Honolulu, Hawaii |
| Authorized Official Name and Position | Tamera L Meznarich (BILLER) |
| Authorized Official Contact | 8087380501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boyd. J. Slomoff M.d. Inc. 4348 Waialae #565 Honolulu HI 96816 Ph: (808) 738-0501 | Boyd. J. Slomoff M.d. Inc. 220 S. King Street Suite #980 Honolulu HI 96813 Ph: (808) 551-5168 |
| NPI Number | 1013195288 |
|---|---|
| Provider Enumeration Date | 02/09/2008 |
| Last Update Date | 04/27/2010 |
| Medicare PECOS PAC ID | 9032270244 |
|---|---|
| Medicare Enrollment ID | O20081205000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013195288 | NPI | - | NPPES |
| HMSA-B053484 | Other | HI | HMSA |
| 047069801 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD#4063 (Hawaii) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | MD4063 (Hawaii) | Secondary |
| Provider Name | Boyd J Slomoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447209069 PECOS PAC ID: 3577598556 Enrollment ID: I20050928000833 |
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