Pacific Nephrology Llc

LBN: Pacific Nephrology Llc
Pacific Nephrology Llc is an health care organization with primary practice located at 95 Maui Lani Pkwy , Wailuku HI 96793-2416. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Pacific Nephrology Llc can be contacted via phone (808) 244-1444, or through Lakkis, Jay Ian via phone (808) 244-1444.

Contact Information

Primary practice address
95 Maui Lani Pkwy Wailuku HI 96793-2416
Phone: (808) 244-1444
Fax: (808) 244-1445
Website:
Map and Directions
Authorized official contact:
Name: Lakkis, Jay Ian Doctor of Medicine (MD)
Phone: (808) 244-1444

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD-12546 Hawaii

Profile Details

NPI number 1265862221
LBN Legal business name Pacific Nephrology Llc
DBA Doing business as
Authorized official Lakkis, Jay Ian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2013
Last updated Mar 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265862221 NPPES
Hawaii MEDICAID 54015501

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