Organization Active NPI

Pacific Healthcare Services LLC

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1265945869
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PACIFIC HEALTHCARE SERVICES LLC
Practice address
50 S Beretania St Ste C117B
Honolulu, HI 96813-2287
Phone
(808) 538-6522
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Dr. Lisa WH Wong, DMD
Title
Manager
Phone
(808) 202-2092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

50 S Beretania St Ste C117B
Honolulu, HI 96813-2287

Mailing address

1050 Queen St Ste 100
Honolulu, HI 96814-4130
Phone (808) 202-2092

National Provider Directory

National Provider Directory

Locations

1050 Queen St
Ste 100
Honolulu, HI 96814
Phone (808) 207-5887

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1265945869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-202-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C117B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132287",
            "telephone_number": "808-538-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-202-2092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.