Provider Demographics
NPI:1497352322
Name:PAURX LLC
Entity Type:Organization
Organization Name:PAURX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAIPO
Authorized Official - Middle Name:
Authorized Official - Last Name:PAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD, RD
Authorized Official - Phone:808-265-3093
Mailing Address - Street 1:4348 WAIALAE AVE # 367
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-452-6759
Mailing Address - Fax:
Practice Address - Street 1:3118 MONSARRAT AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-4466
Practice Address - Country:US
Practice Address - Phone:808-452-6759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service