Pacific Training Program

NPI #1407963606 in Aiea, Hawaii

Provider Information

NPI Number: 1407963606
Entity Type: Organization
Organization Name: Pacific Training Program
Primary Specialty: Pediatrics
Enumeration Date: Aug 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 99-128 AIEA HEIGHTS DR
Address 2: SUITE 108
City: Aiea
State: Hawaii
ZIP Code: 96701-3925
Phone: (808) 488-6846

Authorized Official

Name: DANA ICHINOTSUBO
Title: BOARD MEMBER
Phone: (808) 488-6846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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