Organization
PANIOLO COUNTRY PEDIATRICS LLC
Active
Organization
PANIOLO COUNTRY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS P LEE (BUSINESS ADMINISTRATOR)
(808) 887-6543
Entity
Organization
Contact information
Practice address
64-1032 MAMALAHOA HWY STE 204, KAMUELA, HI 96743-8441
(808) 887-6543
(808) 887-6294
Mailing address
PO BOX 6149, KAMUELA, HI 96743-6149
(808) 887-6543
(808) 887-6294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000227603
QHMS, DR. LEE
HI
01
—
0000235200
QHMS, DR. KAPLAN
HI
05
—
00226101
—
HI
01
—
00A0211829
QHMS, DR. GREGG
HI
01
—
022760
HMSA, DR. LEE
HI
01
—
023520
HMSA, DR. KAPLAN
HI
01
—
2314421
UHA, DR. LEE
HI
01
—
3573421
UHA, DR. KAPLAN
HI
05
—
50529001
—
HI
05
—
50672701
—
HI
01
—
9587421
UHA, DR. GREGG
HI
01
—
A002
CHAMPUS, DR. GREGG
—
01
—
A003
CHAMPUS, DR. LEE
—
01
—
A004
CHAMPUS, DR. KAPLAN
—
01
—
A21182
HSMA, DR. GREGG
HI
Enumeration date
10/18/2006
Last updated
01/22/2015
Update your record
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