Organization
INDEPENDENT LIVING EQUIPMENT AND PACMED
Active
Other names
INDEPENDENT LIVING EQUIPMENT AND PACMED, PacMed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MATSUNAGA (PRESIDENT)
(808) 537-1671
Entity
Organization
Contact information
Practice address
80 SAND ISLAND ACCESS RD STE 238, HONOLULU, HI 96819-4912
(808) 537-1671
(808) 791-6990
Mailing address
80 SAND ISLAND ACCESS RD STE 238, HONOLULU, HI 96819-4912
(808) 537-1671
(808) 537-1393
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10575079
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250062
—
HI
01
—
A210094
HMSA PROVIDER ID
HI
Enumeration date
02/26/2007
Last updated
12/01/2018
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