Organization
WESTGATE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LULUMAFUIE FIATOA MD (CHIEF MEDICAL OFFICER)
(888) 589-2259
Entity
Organization
Contact information
Practice address
94-370 PUPUPANI ST, WAIPAHU, HI 96797-2657
(888) 589-2259
Mailing address
94-370 PUPUPANI ST, WAIPAHU, HI 96797-2657
(888) 589-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD5016
HI
208000000X
Pediatrics Physician
MD5016
HI
208VP0000X
Pain Medicine Physician
14877
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01723602
—
HI
Enumeration date
10/23/2012
Last updated
10/23/2012
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