NPI 1255769303

Chang Dich Lai M.D. INC

Organisation Preferred Provider Organization Honolulu, HI

Practice location

Address: 1380 Lusitana St Suite 1015, Honolulu, HI 96813-2449
Phone: (808) 537-6761
Fax: (808) 537-6740

Authorised official

Name: Chang Dich Lai
Title: President
Phone: (808) 537-6761

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MD6970 (HI)

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Registry record

NPI: 1255769303
Entity type: Organization
NPI issued: 29 Oct 2013
Record last updated: 29 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.