Healthcare Provider Details

I. General information

NPI: 1902031826
Provider Name (Legal Business Name): OHANA HEARING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1296 S BERETANIA ST SUITE 102
HONOLULU HI
96814-1515
US

IV. Provider business mailing address

1296 S BERETANIA ST SUITE 102
HONOLULU HI
96814-1515
US

V. Phone/Fax

Practice location:
  • Phone: 808-593-2137
  • Fax: 808-593-2522
Mailing address:
  • Phone: 808-593-2137
  • Fax: 808-593-2522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA 23
License Number StateHI

VIII. Authorized Official

Name: MR. PABLO S PAGADUAN
Title or Position: MANAGER
Credential: LICENSED HIS
Phone: 808-593-2137