Pediatric Medical Group, Llc in Honolulu - Preferred Provider Organization
Pediatric Medical Group, Llc - NPI 1457446585
Pediatric Medical Group, Llc is a Preferred Provider Organization in Honolulu, Hawaii. Pediatric Medical Group, Llc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Pediatric Medical Group, Llc is 1457446585. The last update date is 2020-08-22.
Pediatric Medical Group, Llc's current location address is 1712 Liliha Street, Honolulu, Hawaii. You can contact this provider via phone number 8085221313 and fax number 8085221309. The mailing address for Pediatric Medical Group, Llc is 1712 Liliha Street, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Medical Group, Llc |
|---|---|
| Address | 1712 Liliha Street, Honolulu, Hawaii |
| Phone Number | 8085221313 |
| Fax Number | 8085221309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRICI |
|---|---|
| Authorized Official Name | Jacang Reyes Amelia |
| Credentials | M.D. |
| Telephone Number | 8085221313 |
NPI Number Detail
| NPI Number | 1457446585 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1712 Liliha Street |
|---|---|
| City | Honolulu |
| State | Hawaii (HI) |
| Post Code | 968173114 |
| Phone Number | 8085221313 |
| Fax Number | 8085221309 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 1854 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique 10-digit identification code issued to Pediatric Medical Group, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Medical Group, Llc has been assigned the NPI (National Provider Identifier) 1457446585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Pediatric Medical Group, Llc?
The Pediatric Medical Group, Llc is situated at 1712 Liliha Street, in the city of Honolulu, state of HI, with the zip code 968173114.
What is Pediatric Medical Group, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Medical Group, Llc's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date did the Pediatric Medical Group, Llc receive its 1457446585 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Medical Group, Llc was assigned its 1457446585 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information regarding Pediatric Medical Group, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Medical Group, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC