Organization
DEREK K H PANG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILIBETH DOMINGO CATO (MEDICAL ASSISTANT)
(808) 523-1343
Entity
Organization
Contact information
Practice address
2228 LILIHA ST, 401, HONOLULU, HI 96817-1650
(808) 523-1343
(808) 523-1345
Mailing address
2228 LILIHA ST, 401, HONOLULU, HI 96817-1650
(808) 523-1343
(808) 523-1345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3734
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04371823
—
HI
01
—
48892
HMSA
HI
Enumeration date
06/30/2010
Last updated
12/09/2011
Update your record
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