Pacific Training Program

LBN: Pacific Training Program
Pacific Training Program is an health care organization with primary practice located at 99-128 Aiea Heights Dr Suite 108, Aiea HI 96701-3925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pacific Training Program can be contacted via phone (808) 488-6846, or through Ichinotsubo, Dana via phone (808) 488-6846.

Contact Information

Primary practice address
99-128 Aiea Heights Dr Suite 108 Aiea HI 96701-3925
Phone: (808) 488-6846
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ichinotsubo, Dana
Phone: (808) 488-6846

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-11341 Hawaii

Profile Details

NPI number 1407963606
LBN Legal business name Pacific Training Program
DBA Doing business as
Authorized official Ichinotsubo, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407963606 NPPES
Hawaii MEDICAID 51484202

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