Provider Demographics
NPI:1871734079
Name:JUSTICE MEDICAL LLC
Entity type:Organization
Organization Name:JUSTICE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-671-5633
Mailing Address - Street 1:94-1388 MOANIANI ST
Mailing Address - Street 2:UNIT 309
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-6602
Mailing Address - Country:US
Mailing Address - Phone:808-671-5633
Mailing Address - Fax:808-671-5634
Practice Address - Street 1:94-1388 MOANIANI ST
Practice Address - Street 2:UNIT 309
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-6602
Practice Address - Country:US
Practice Address - Phone:808-671-5633
Practice Address - Fax:808-671-5634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies