Provider Demographics
NPI:1902031826
Name:OHANA HEARING CARE
Entity Type:Organization
Organization Name:OHANA HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAGADUAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED HIS
Authorized Official - Phone:808-593-2137
Mailing Address - Street 1:1296 S BERETANIA ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1515
Mailing Address - Country:US
Mailing Address - Phone:808-593-2137
Mailing Address - Fax:808-593-2522
Practice Address - Street 1:1296 S BERETANIA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1515
Practice Address - Country:US
Practice Address - Phone:808-593-2137
Practice Address - Fax:808-593-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHA 23332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment