Glen A Tanaka in Honolulu - Pediatrics

Glen A Tanaka - NPI 1639257108

Glen A Tanaka is a Pediatrics in Honolulu, Hawaii. Glen A Tanaka practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Glen A Tanaka is 1639257108. The last update date is 2007-07-09.

Glen A Tanaka's current location address is 1831 S King St Ste 203, Honolulu, Hawaii. You can contact this provider via phone number 8089552015 and fax number 8089494915. The mailing address for Glen A Tanaka is 1831 S King St Ste 203, Honolulu, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Glen A Tanaka
Address 1831 S King St Ste 203, Honolulu, Hawaii
Phone Number 8089552015
Fax Number 8089494915
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1639257108
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1831 S King St Ste 203
City Honolulu
State Hawaii (HI)
Post Code 968262131
Phone Number 8089552015
Fax Number 8089494915

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 279
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2369301 HI --

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FAQs about Glen A Tanaka

What is the unique 10-digit identification code issued to Glen A Tanaka by the Centers for Medicare & Medicaid Services?

The Glen A Tanaka has been assigned the NPI (National Provider Identifier) 1639257108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Glen A Tanaka's physical address?

The Glen A Tanaka is physically located at 1831 S King St Ste 203, in the city of Honolulu, HI, with the postal code 968262131.

What is Glen A Tanaka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Glen A Tanaka's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 152Wp0200X.

When was the Glen A Tanaka's 1639257108 issued?

The Glen A Tanaka's 1639257108 was issued on 2006-11-01.

As of what date were the details related to Glen A Tanaka most recently updated or revised?

The information pertaining to Glen A Tanaka, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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