Healthcare Provider Details

I. General information

NPI: 1952458135
Provider Name (Legal Business Name): HAWAII PACIFIC ONCOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 WAIANUENUE AVE
HILO HI
96720-1227
US

IV. Provider business mailing address

1285 WAIANUENUE AVE
HILO HI
96720-1227
US

V. Phone/Fax

Practice location:
  • Phone: 808-933-0625
  • Fax: 808-974-6864
Mailing address:
  • Phone: 808-933-0625
  • Fax: 808-974-6864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateHI

VIII. Authorized Official

Name: DR. ANTHONY R LIM
Title or Position: DOCTOR
Credential: M.D.
Phone: 808-933-0625