NPI 1407963606

Pacific Training Program

Organisation Pediatrics Physician Aiea, HI

Practice location

Address: 99-128 Aiea Heights Dr Suite 108, Aiea, HI 96701-3925
Phone: (808) 488-6846

Authorised official

Name: Dana Ichinotsubo
Title: Board Member
Phone: (808) 488-6846

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD-11341 (HI)

Other Pediatrics providers in Hawaii →

Registry record

NPI: 1407963606
Entity type: Organization
NPI issued: 24 Aug 2006
Record last updated: 22 Aug 2020

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.