Derek K H Pang MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

3734 Issued in HI

Legal business name

DEREK K H PANG MD INC

Practice address

2228 Liliha St
401
Honolulu, HI 96817-1650

Phone

(808) 523-1343

Fax

(808) 523-1345

NPI assigned

Jun 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lilibeth Domingo Cato

Title

Medical Assistant

Phone

(808) 523-1343

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1083925580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST",
            "address_2": "401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171650",
            "telephone_number": "808-523-1343",
            "fax_number": "808-523-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST",
            "address_2": "401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171650",
            "telephone_number": "808-523-1343",
            "fax_number": "808-523-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK K H PANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "CATO",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "808-523-1343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04371823",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "48892",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.