Organization
WAHIAWA FAMILY PRACTICE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON TAI PANG LAM MD (PRESIDENT)
(808) 621-7733
Entity
Organization
Contact information
Practice address
302 CALIFORNIA AVE, SUITE 103, WAHIAWA, HI 96786-1841
(808) 621-7733
(808) 621-7799
Mailing address
302 CALIFORNIA AVE, SUITE 103, WAHIAWA, HI 96786-1841
(808) 621-7733
(808) 621-7799
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD11212
HI
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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