# PACIFIC ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1841316841
- **Authorized official:** ERIC BOON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 1029 MAKOLU STREET, SUITE H, PEARL CITY, HI 96782-2890
- **Practice address phone:** (808) 456-6420
- **Practice address fax:** (808) 456-6421
- **Mailing address:** 1029 MAKOLU ST STE H, PEARL CITY, HI 96782-2890
- **Mailing address phone:** (615) 345-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OHCA FSOF 15 | HI | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 01/12/2025