# PACIFIC ENDOSCOPY CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417377649
- **Authorized official:** ERIC BOON (OFFICER/AO)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 134 PUUHONU WAY, HILO, HI 96720-2066
- **Practice address phone:** (808) 969-3979
- **Practice address fax:** (808) 531-5819
- **Mailing address:** 134 PUUHONU WAY, HILO, HI 96720-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | FSOF-9 | HI | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 11/10/2024