Pediatric Medical Group, Llc

LBN: Pediatric Medical Group, Llc
Pediatric Medical Group, Llc is an health care organization with primary practice located at 1712 Liliha Street Suite304, Honolulu HI 96817-3114. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Pediatric Medical Group, Llc can be contacted via phone (808) 522-1313, or through Jacang, Amelia Reyes via phone (808) 522-1313.

Contact Information

Primary practice address
1712 Liliha Street Suite304 Honolulu HI 96817-3114
Phone: (808) 522-1313
Fax: (808) 522-1309
Website:
Map and Directions
Authorized official contact:
Name: Jacang, Amelia Reyes Doctor of Medicine (MD)
Phone: (808) 522-1313

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 1854 Hawaii

Profile Details

NPI number 1457446585
LBN Legal business name Pediatric Medical Group, Llc
DBA Doing business as
Authorized official Jacang, Amelia Reyes Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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