Organization · Type 2 NPI

Paradise Medical Services LLC

General Practice Physician · Wailuku, HI

NPI number 1124666201 Active

Practice location

2120 Kaohu St
Wailuku, HI 96793-2205

Fax (808) 377-4734

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Another provider at this address

Jessica Sage Blank Mendonsa, PA-CPhysician Assistant Wailuku, HI NPI 1124458930

Other general practice physician providers in Wailuku

See all in Wailuku →

NPI record

NPI: 1124666201
Entity type: Organization (Type 2)
Issued: Dec 19, 2019
Last updated: Jan 27, 2022
Status: Active

Other names

<unavail>
Paradise Medical · doing business as
Paradise Medical · doing business as

Authorized official

Mrs. Jessica S B Mendonsa, PA-C
Provider/llc Member
(808) 377-4734

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124666201

Paradise Medical Services LLC's National Provider Identifier is 1124666201, issued on Dec 19, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Wailuku, HI. The record was last updated on Jan 27, 2022.