Organization
KAPOLEI PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T NINOMIYA MD (PROPRIETOR)
(808) 693-7300
Entity
Organization
Contact information
Practice address
KAPOLEI BUILDING, 1001 KAMOKILA BLVD, SUITE 193, KAPOLEI, HI 96707-2014
(808) 693-7300
(808) 693-7301
Mailing address
KAPOLEI BUILDING, 1001 KAMOKILA BLVD, SUITE 193, KAPOLEI, HI 96707-2014
(808) 693-7300
(808) 693-7301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13419
HI
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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