Omnicare Medical Clinic,Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9018 Issued in HI

Legal business name

OMNICARE MEDICAL CLINIC,INC

Practice address

1481 S King St
Suite 422
Honolulu, HI 96814-2506

Phone

(808) 955-7117

Fax

(808) 955-7138

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Raymond Kang, MD

Title

President

Phone

(808) 955-7117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1275716540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 422",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-955-7117",
            "fax_number": "808-955-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 422",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-955-7117",
            "fax_number": "808-955-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-955-7117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee Ann K. Omatsu, P.N.P.
• Jase Omizo, MD
• Michael M Omizo, PHD
• Reese Kazuo Omizo, M.D.
• Omni Anesthesia LLC
• William Addison Wry Omohundro
• Masayo Omori, SLP
• Sean H. Omori, M.D.
• Omura & Inouye, D.D.S., Inc.
• Aaron Jay Omura, DMD

• General Practice Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.