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Organization

INDEPENDENT LIVING EQUIPMENT AND PACMED

Active
Other names
PACMED
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH MATSUNAGA MSME, ATP (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) 537-1391

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
539455
HI
01
A210094
HMSA PROVIDER ID
HI
Enumeration date
12/02/2005
Last updated
06/24/2019
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