Wahiawa Family Practice Clinic INC

NPI #1386753903 in Wahiawa, Hawaii

Provider Information

NPI Number: 1386753903
Entity Type: Organization
Organization Name: Wahiawa Family Practice Clinic INC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 302 CALIFORNIA AVE
Address 2: SUITE 103
City: Wahiawa
State: Hawaii
ZIP Code: 96786-1841
Phone: (808) 621-7733

Authorized Official

Name: DR. JASON TAI PANG LAM, MD
Title: PRESIDENT
Phone: (808) 621-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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