| Organization Name: | PACIFIC RADIATION ONCOLOGY LLC |
| NPI Number: | 1003851932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALVIN WONG (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1650 Liliha St Suite 105 Honolulu |
| State: | HI US |
| Postal Code: | 968173169 |
| Phone Number: | 8085243131 |
| Fax Number: | 8085243189 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 10717599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |