Healthcare Provider Details

I. General information

NPI: 1710056825
Provider Name (Legal Business Name): ORTHOPEDIC CARE HI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 ILANIWAI ST STE 102B
HONOLULU HI
96813-5250
US

IV. Provider business mailing address

126 KAIHONE WAY
KAILUA HI
96734-1658
US

V. Phone/Fax

Practice location:
  • Phone: 808-695-6470
  • Fax: 808-695-6499
Mailing address:
  • Phone: 808-695-6470
  • Fax: 808-695-6499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: FRANDEE LUM
Title or Position: OWNER/MANAGER
Credential:
Phone: 808-695-6500