Provider Demographics
NPI:1962739060
Name:OCHOA, PAUL R (CSAC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:R
Last Name:OCHOA
Suffix:
Gender:M
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3-3367 KUHIO HWY
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1034
Mailing Address - Country:US
Mailing Address - Phone:808-246-0497
Mailing Address - Fax:808-246-9349
Practice Address - Street 1:3-3367 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1034
Practice Address - Country:US
Practice Address - Phone:808-246-0497
Practice Address - Fax:808-246-9349
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)