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PACIFIC VASCULAR ASSOCIATES LLC NPI 1154888014


NPI Information

NPI: 1154888014
Provider Name: PACIFIC VASCULAR ASSOCIATES, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
98-1079 MOANALUA RD STE 620
AIEA, HI
ZIP 96701
Phone: (808) 486-7775
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PACIFIC VASCULAR ASSOCIATES, LLC is a clinic center in Aiea, HI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PACIFIC VASCULAR ASSOCIATES, LLC NPI is 1154888014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

98-1079 MOANALUA RD STE 620
AIEA, HI
ZIP 96701-716
Phone: (808) 486-7775
Fax: (808) 486-5558

The provider's authorized official is Amr El-sergany .
The authorized official title is President and has the following contact phone number (352) 870-7393.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 2/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryNo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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