VENTURE MEDICAL 21 INC is a clinic center in Ewa Beach, 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). VENTURE MEDICAL 21 INC NPI is 1851647952. The provider is registered as an organization entity type.
The provider's business location address is:
91-896 MAKULE RD STE 102
EWA BEACH, HI
ZIP 96706-543
Phone: (808) 689-4414
Fax: (808) 689-7115
The provider's authorized official is Jose D Reque .
The authorized official title is President and has the following contact phone number (808) 531-7878.
The CLIA number assigned to this NPI record is 12D2099343 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/26/2012 and was last updated on 8/15/2014.