Organization · Type 2 NPI
Primary Care Physician Enterprise LLC
Clinic/Center · Ewa Beach, HI
NPI number
1164054763
Active
Practice location
91-6390 Kapolei Pkwy
Ewa Beach, HI 96706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5 other providers at this address
- The Queens Medical CenterUrgent Care Clinic/Center Ewa Beach, HI NPI 1417580275
- Angelica Agapito, MDFamily Medicine Physician Ewa Beach, HI NPI 1578084505
- Darcie Marie Takemoto, DOPediatrics Physician Ewa Beach, HI NPI 1215370663
- Darwin Carlos Raquel, RNRegistered Nurse Ewa Beach, HI NPI 1316873532
- Jennifer Anne Ivanovna Lahov, ARNP, FNP-C, CPHFamily Nurse Practitioner Ewa Beach, HI NPI 1255113601
Other clinic/center providers in Ewa Beach
- Waianae District Comprehensive Health and Hospital Board, IncorporatedClinic/Center Ewa Beach, HI NPI 1053888917
- Kubo and Bihis, LLCClinic/Center Ewa Beach, HI NPI 1235324625
- West Oahu Acupuncture and Integrative Medicine LLCClinic/Center Ewa Beach, HI NPI 1235853391
- Alfonso F JimenezClinic/Center Ewa Beach, HI NPI 1821290917
- Venture Medical 21 IncClinic/Center Ewa Beach, HI NPI 1851647952
About NPI 1164054763
Primary Care Physician Enterprise LLC's National Provider Identifier is 1164054763, issued on Feb 11, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ewa Beach, HI. The record was last updated on Aug 4, 2026.