Chang Dich Lai M.D. INC
Preferred Provider Organization in Honolulu, HI. Organization (NPI-2).
NPI number1255769303
StatusActive
Last updated in NPPESOct 29, 2013
Details
- NPI
- 1255769303
- Entity type
- Organization (NPI-2)
- Legal business name
- Chang Dich Lai M.D. INC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2013
- Last updated
- Oct 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | MD6970 | HI | Yes |
Practice location
1380 Lusitana StSuite 1015
Honolulu, HI 96813-2449
Phone 808-537-6761 · Fax 808-537-6740
Mailing address
1380 Lusitana StSuite 1015
Honolulu, HI 96813-2449
Phone 808-537-6761 · Fax 808-537-6740
Authorized official
Chang Dich Lai
President
8085376761
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