MEDICARE: LIFEFORCE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 233	HI

General Provider Information

NPI Number	:	1538229489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEFORCE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 393
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-0393
Country	:	US
Telephone Number	:	808-262-0398
Fax Number	:	808-261-4463

Provider Business Practice Location Address
First Line	:	1188 BISHOP ST
Second Line	:	SUITE 2412
City	:	HONOLULU
State	:	HI
Zip	:	96813-3301
Country	:	US
Telephone Number	:	808-540-1001
Fax Number	:	808-540-1003

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN ORENSTEIN
Credential	:	PHD
Telephone Number	:	808-262-0398

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/26/2008

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Directions to “LIFEFORCE, INC. ” Practice Location

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