Pacific Training Program

Pediatrics Physician · Aiea, HI

Organization Active NPI

NPI number 1407963606

Practice location

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

Open in Google Maps

NPI record

NPI
1407963606
Entity type
Organization (Type 2)
Enumeration date
August 24, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD-11341 HI

Authorized official

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

About Pacific Training Program

Pacific Training Program is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 99-128 Aiea Heights Dr, Suite 108, Aiea, HI 96701-3925. The NPI number 1407963606 was assigned on August 24, 2006 and the record was last updated on August 22, 2020.

Pacific Training Program lists a license in the registry: #MD-11341 (HI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dana Ichinotsubo, Board Member.

Frequently asked questions

What is the NPI number of Pacific Training Program?

The NPI number is 1407963606.

What is the phone number of Pacific Training Program?

The phone number listed for the practice location is (808) 488-6846.

Where is Pacific Training Program located?

99-128 Aiea Heights Dr, Suite 108, Aiea, HI 96701-3925.

What is the taxonomy code for Pacific Training Program?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Aiea

All Pediatrics Physician providers in Aiea, HI →