Organization
PEDIATRIC PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE M TANIGUCHI M.D. (MEMBER)
(808) 488-1990
Entity
Organization
Contact information
Practice address
98-1238 KAAHUMANU ST STE 200, PEARL CITY, HI 96782-3250
(808) 488-1990
(808) 486-8495
Mailing address
98-1238 KAAHUMANU ST STE 200, PEARL CITY, HI 96782-3250
(808) 488-1990
(808) 486-8495
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058717-02
—
HI
05
—
075723-01
—
HI
05
—
56572301
—
HI
Enumeration date
02/19/2008
Last updated
07/21/2022
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