Retina Center Of Guam, LLC
Ophthalmology in Tamuning, GU. Organization (NPI-2).
NPI number1750397014
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750397014
- Entity type
- Organization (NPI-2)
- Legal business name
- Retina Center Of Guam, LLC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
Retina Center Of Guam, LLC633 Governor Carlos Camacho Rd, Suite 205
Tamuning, GU 96913
Phone 808-533-7400 · Fax 808-521-7798
Mailing address
2055 N King St Ste 100Honolulu, HI 96819-3462
Phone 808-533-7400 · Fax 808-521-7798
Authorized official
M. Pierre Pang
President
8085337400
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