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PAK MEDICAL GROUP, LLC
NPI 1164813820
Internal Medicine in Princeville, HI

Active since February 16, 2015CLIA 45D2158802 · Waiver
5-4280 KUHIO HWY UNIT G210, PRINCEVILLE, HI 96722(210) 902-9217 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pak Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAK MEDICAL GROUP, LLC (NPI 1164813820) is a healthcare organization registered as an internal medicine in Princeville, Hawaii and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through December 5, 2026, maintains 8 additional practice locations, and lists Ho Sung Pak, Owner, as its authorized official.

NPPES Registry Identity

NPI1164813820
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAK MEDICAL GROUP, LLC
Location Address5-4280 KUHIO HWY UNIT G210Princeville, HI 96722-5451
Mailing Address1672 Independence Dr Ste 310New Braunfels, TX 78132-3898 · (830) 730-5025 · Fax (830) 730-4207
Phone(210) 902-9217
Organization SubpartNo
Authorized OfficialHo Sung PakOwner · (210) 902-9217
Enumeration DateFebruary 16, 2015
Last NPPES UpdateJanuary 21, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1164813820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · 1597
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5-4280 KUHIO HWY UNIT G210, Princeville, HI 96722
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Secondary Practice Locations 8

Location 11423 Fm 2673Canyon Lake, TX 78133-4565 · Phone (830) 428-3970 · Fax (830) 632-2103
Location 266 Gruene Park Dr Ste 210New Braunfels, TX 78130-2219 · Phone (830) 730-4375 · Fax (830) 730-4203
Location 3221 Hunters Vlg Ste BNew Braunfels, TX 78132-4899 · Phone (830) 627-8300 · Fax (830) 327-1021
Location 414100 Ranch Road 12 Unit 900Wimberley, TX 78676-5332 · Phone (512) 847-0300 · Fax (512) 847-0400
Location 51400 TX-123San Marcos, TX 78666-7856 · Phone (512) 396-3663 · Fax (830) 327-1021
Location 62009 Pat Booker RdUniversal City, TX 78148-3201 · Phone (210) 659-4425 · Fax (210) 658-1723
Location 71255 Ashby St Ste ISeguin, TX 78155-5100 · Phone (830) 372-1615 · Fax (830) 373-1905
Location 81762 E Common StNew Braunfels, TX 78130 · Phone (830) 730-8580 · Fax (830) 327-1021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2158802

Pak Medical Group · Wimberley, TX
Active · expires Dec 5, 2026
CLIA Number45D2158802
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorFilmeno Gonzalez
Laboratory Phone(572) 847-0300
Laboratory LocationPak Medical Group14100 Ranch Road, 12, Wimberley, TX 78676
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pak Medical Group, LLC's NPI number?

The NPI number for Pak Medical Group, LLC is 1164813820. It was assigned to this organization in the NPPES registry on February 16, 2015.

Where is Pak Medical Group, LLC located?

Pak Medical Group, LLC is located at 5-4280 Kuhio Hwy Unit G210, Princeville, HI 96722. The listed phone number is (210) 902-9217.

What is Pak Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Pak Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2158802) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pak Medical Group, LLC was last updated on January 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.