Provider Demographics
NPI:1427391994
Name:SURGERY CENTER OF THE PACIFIC, LLC
Entity Type:Organization
Organization Name:SURGERY CENTER OF THE PACIFIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-947-2020
Mailing Address - Street 1:1401 S BERETANIA ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1870
Mailing Address - Country:US
Mailing Address - Phone:808-947-2020
Mailing Address - Fax:808-947-2088
Practice Address - Street 1:1401 S BERETANIA ST
Practice Address - Street 2:SUITE 420
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1870
Practice Address - Country:US
Practice Address - Phone:808-947-2020
Practice Address - Fax:808-947-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW0601921701261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical