Organization
OMNICARE MEDICAL CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND KANG MD (PRESIDENT)
(808) 955-7117
Entity
Organization
Contact information
Practice address
1481 S KING ST, SUITE 422, HONOLULU, HI 96814-2506
(808) 955-7117
(808) 955-7138
Mailing address
1481 S KING ST, SUITE 422, HONOLULU, HI 96814-2506
(808) 955-7117
(808) 955-7138
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9018
HI
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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