| Pediatric Physicians Group | |
|
98-1238 Kaahumanu St Ste 200 Pearl City HI 96782-3250 | |
| (808) 488-1990 | |
| (808) 486-8495 |
| Full Name | Pediatric Physicians Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 98-1238 Kaahumanu St Ste 200, Pearl City, Hawaii |
| Authorized Official Name and Position | Lance M Taniguchi (MEMBER) |
| Authorized Official Contact | 8084881990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Physicians Group 98-1238 Kaahumanu St Ste 200 Pearl City HI 96782-3250 Ph: (808) 488-1990 | Pediatric Physicians Group 98-1238 Kaahumanu St Ste 200 Pearl City HI 96782-3250 Ph: (808) 488-1990 |
| NPI Number | 1003084427 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003084427 | NPI | - | NPPES |
| 56572301 | Medicaid | HI | |
| 058717-02 | Medicaid | HI | |
| 075723-01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Hawaii) | Primary |
Castle Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Kuala St # 13, Pearl City, HI 96782 Phone: 808-456-2273 | |
Us Med Care Synchronicity Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Kuala St, Suite 106, Pearl City, HI 96782 Phone: 808-784-2273 Fax: 808-784-2274 |