1710056825 NPI number — ORTHOPEDIC CARE HI, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710056825 NPI number — ORTHOPEDIC CARE HI, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORTHOPEDIC CARE HI, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710056825
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
126 KAIHONE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KAILUA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96734-1658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-695-6470
Provider Business Mailing Address Fax Number:
808-695-6499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
856 ILANIWAI ST STE 102B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-5250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-695-6470
Provider Business Practice Location Address Fax Number:
808-695-6499
Provider Enumeration Date:
11/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LUM
Authorized Official First Name:
FRANDEE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MANAGER
Authorized Official Telephone Number:
808-695-6500

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GE-210-870-6816-01 . This is a "HAWAII TAX ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: DME-0194 . This is a "DURABLE MEDICAL EQUIPMENT LICENSE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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