GLENN M. L. PANG, MD, INC (NPI# 1689019176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689019176 |
| Entity Type | Organization |
| Organization Name | GLENN M. L. PANG, MD, INC |
| Practice Address |
2226 Liliha St Suite 405 Honolulu HI 96817-1600 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 8085331708 |
| Mailing Telephone | 3104749809 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. GLENN M. L. PANG (OWNER) |
| Authorized Official Telephone | 8085331708 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GLENN M. L. PANG, MD, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
2226 LILIHA ST SUITE 405 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568416 | David A Naai | Specialist | 2226 Liliha St, Ste 306, Honolulu, HI 96817-1605 | 2005-06-16 |
| 1588208912 | Alan L Villegas | Behavior Technician | 2226 Liliha St, Honolulu, HI 96817-1600 | 2019-10-29 |
| 1588170278 | Jamie Michelle West | Behavior Technician | 2226 Liliha St, Honolulu, HI 96817-1600 | 2017-12-18 |
| 1083073886 | Hawaii Nephrologists LLC | Internal Medicine | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2016-02-22 |
| 1639551146 | Ma. Clarisse Toledo-santos LLC | Internal Medicine | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1600 | 2015-06-19 |
| 1801291562 | Lee Hoang | Physical Therapist | 2226 Liliha St, Honolulu, HI 96817-1600 | 2014-10-23 |
| 1104246446 | Pacific Endoscopy Center LLC | Clinic/Center | 2226 Liliha St, Ste. 307, Honolulu, HI 96817-1600 | 2014-04-25 |
| 1326464694 | Franz Yuen Physical Therapy LLC | Physical Therapist | 2226 Liliha St, Suite 404, Honolulu, HI 96817-1600 | 2014-03-11 |
| 1598106247 | Damien Tavares Md, LLC | Clinic/Center | 2226 Liliha St, Suite 407, Honolulu, HI 96817-1600 | 2013-07-10 |
| 1477819654 | Jennifer M. Lee Fnp, LLC | Clinic/Center | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1600 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295811636 | Mankwan Wong, M.d., LLC | Non-Pharmacy Dispensing Site | 1750 Kalakaua Ave Ste 108, Honolulu, HI 96826-3700 | 2006-10-28 |
| 1902242449 | Ken G. Sakuda, Dpm, LLC | Non-Pharmacy Dispensing Site | 321 N Kuakini St, Suite 801, Honolulu, HI 96817-2364 | 2013-05-10 |
| 1306281068 | Irene S. Kawakami Yamamoto, Md, Inc | Non-Pharmacy Dispensing Site | 1481 S King St, Suite 343, Honolulu, HI 96814-2601 | 2013-05-07 |
| 1164764957 | Academy Foot Center of Hawaii, Inc | Non-Pharmacy Dispensing Site | 1329 Lusitana St, Suite 801, Honolulu, HI 96813-2429 | 2013-03-20 |
| 1427390210 | Honolulu Pain Management Clinic, LLC | Non-Pharmacy Dispensing Site | 500 Ala Moana Blvd, 1 Waterfront Plaza Suite 302, Honolulu, HI 96813-4920 | 2013-03-20 |
| 1477806214 | Michael B. Russo Md Inc | Non-Pharmacy Dispensing Site | 320 Ward Ave, Suite 101, Honolulu, HI 96814-4001 | 2012-10-17 |
| 1215008594 | Kamaaina Vision Center | Non-Pharmacy Dispensing Site | 508 Atkinson Dr, Honolulu, HI 96814-4728 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077988 | Clarence D Harkness Dpm | Non-Pharmacy Dispensing Site | 73 Puuhonu Pl Ste 105, Hilo, HI 96720-2060 | 2019-01-24 |
| 1104173764 | Hawaii Whole Person Healing Collective, LLC | Non-Pharmacy Dispensing Site | 15-3039 Pahoa Village Rd, Pahoa, HI 96778-9677 | 2012-08-13 |
| 1871534735 | Straub Clinic & Hospital | Non-Pharmacy Dispensing Site | 628 - B Seventh St, Lanai City, HI 96763 | 2006-06-09 |
| 1669803623 | Susan M.s. Cauley, M.d., Inc. | Non-Pharmacy Dispensing Site | 82 Puuhonu Pl, Suite 202, Hilo, HI 96720-2010 | 2013-12-02 |
| 1558706960 | Ka Wai Ola Family Medical Clinic, LLC | Non-Pharmacy Dispensing Site | 94-849 Lumiaina St, Unit 207, Waipahu, HI 96797-5677 | 2013-04-30 |
| 1730421934 | Midori International, Inc | Non-Pharmacy Dispensing Site | 81-6629 Mamalahoa Hwy, Kealakekua, HI 96750-8184 | 2013-03-26 |
| 1972849073 | Lokahi Health Center, Inc | Non-Pharmacy Dispensing Site | 75-169 Hualalai Rd, Suite 301, Kailua Kona, HI 96740-1744 | 2012-12-17 |
| 1790020923 | Jacqueline Hahn | Non-Pharmacy Dispensing Site | 142 Kinoole St, Suite B, Hilo, HI 96720-2838 | 2012-11-28 |
| 1871837302 | Liza Maniquis-smigel, M.d., LLC | Non-Pharmacy Dispensing Site | 136a Ululani St, Hilo, HI 96720-2946 | 2012-11-21 |
| 1144570490 | Hilo Natural Health Clinic, LLC | Non-Pharmacy Dispensing Site | 152 Puueo St, Hilo, HI 96720-2429 | 2012-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.