Organization
PACIFIC RETINA CARE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD TAFOYA M.D. (OWNER)
(808) 676-4772
Entity
Organization
Contact information
Practice address
94-849 LUMIAINA ST, SUITE 102, WAIPAHU, HI 96797-5025
(808) 676-4772
(808) 676-8772
Mailing address
94-849 LUMIAINA ST, SUITE 102, WAIPAHU, HI 96797-5025
(808) 676-4772
(808) 676-8772
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 11913
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517724
—
HI
Enumeration date
03/18/2009
Last updated
06/26/2020
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