| Ohana Pacific Medical Llc | |
|
428 Kawaihae St Apt 148 Honolulu HI 96825-1291 | |
| (808) 930-9858 | |
| (808) 930-9859 |
| Full Name | Ohana Pacific Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 428 Kawaihae St Apt 148, Honolulu, Hawaii |
| Authorized Official Name and Position | Steven T Ito (OWNER) |
| Authorized Official Contact | 8089270119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Pacific Medical Llc 428 Kawaihae St Apt 148 Honolulu HI 96825-1291 Ph: (808) 930-9858 | Ohana Pacific Medical Llc 428 Kawaihae St Apt 148 Honolulu HI 96825-1291 Ph: (808) 930-9858 |
| NPI Number | 1427514645 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 0244572378 |
|---|---|
| Medicare Enrollment ID | O20190422000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427514645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Craig H Nakatsuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154422251 PECOS PAC ID: 0345374484 Enrollment ID: I20100811000942 |
| Provider Name | Patricia L Borman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699859314 PECOS PAC ID: 1456410919 Enrollment ID: I20150123002274 |
| Provider Name | Steven T Ito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063819191 PECOS PAC ID: 4183943699 Enrollment ID: I20150505002333 |
| Provider Name | Mai-lee C Eriksson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124408547 PECOS PAC ID: 9638484678 Enrollment ID: I20150819008368 |
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