Healthcare Provider Details

I. General information

NPI: 1669217220
Provider Name (Legal Business Name): PACIFIC ISLANDER HEALTH PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 E 17TH ST STE 107
SANTA ANA CA
92705-8520
US

IV. Provider business mailing address

1505 E 17TH ST STE 107
SANTA ANA CA
92705-8520
US

V. Phone/Fax

Practice location:
  • Phone: 949-354-3381
  • Fax:
Mailing address:
  • Phone: 949-354-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: UALANI HOOPAI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 949-354-3381