| Wahiawa Family Practice Clinic Inc | |
|
302 California Ave Suite 103 Wahiawa HI 96786-1841 | |
| (808) 621-7733 | |
| (808) 621-7799 |
| Full Name | Wahiawa Family Practice Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 California Ave, Wahiawa, Hawaii |
| Authorized Official Name and Position | Jason Tai Pang Lam (PRESIDENT) |
| Authorized Official Contact | 8086217733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wahiawa Family Practice Clinic Inc 302 California Ave Suite 103 Wahiawa HI 96786-1841 Ph: (808) 621-7733 | Wahiawa Family Practice Clinic Inc 302 California Ave Suite 103 Wahiawa HI 96786-1841 Ph: (808) 621-7733 |
| NPI Number | 1386753903 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537054259 |
|---|---|
| Medicare Enrollment ID | O20040220000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386753903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD11212 (Hawaii) | Primary |
| Provider Name | Jason T P Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114033040 PECOS PAC ID: 6709771421 Enrollment ID: I20120119000526 |
21st Century Healthcare Llc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 California Ave, Suite 209, Wahiawa, HI 96786 Phone: 808-622-2655 Fax: 808-622-5599 | |
Michael Tubianosa Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Lehua St, Wahiawa, HI 96786 Phone: 808-621-8411 | |
Arnold Seid Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Center St Ste 7, Wahiawa, HI 96786 Phone: 808-621-6511 Fax: 808-622-9088 | |
Hinakokea Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Lehua St, Wahiawa, HI 96786 Phone: 808-621-8411 | |
Central Oahu Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 California Ave Ste 210, Wahiawa, HI 96786 Phone: 808-927-0183 | |
Island Medical Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Kilani Ave, Wahiawa, HI 96786 Phone: 808-594-7845 Fax: 844-285-8853 | |
The Wahiawa Center For Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 California Ave Ste 106, Wahiawa, HI 96786 Phone: 808-622-1618 Fax: 877-759-6943 |