PEDIATRIC MEDICAL GROUP, LLC
Managed Care Organizations at Liliha St, Honolulu, HI

License number
Hawaii 1854
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. AMELIA REYES JACANG M.D.
Title: PEDIATRICIAN
Phone: (808) 522-1313
Address
Address
1712 Liliha St, Honolulu, HI 96817
National Provider ID: 1457446585
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEDIATRIC MEDICAL GROUP, LLC at bizstanding.com

PEDIATRIC MEDICAL GROUP, LLC

1712 Liliha St STE 304, Honolulu, HI 96817

Status:
Inactive
Industry:
Pediatric Clinic, To Engage In The Business Of Rendering Medical And Pediatric Services (*see Amendment Dated 6/18/93), Medical Doctor's Office
Doing business as:
PEDIATRIC MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION
Registration:
Jan 19, 2004
Phone:
(808) 522-1313 (Phone)
State ID:
28115 C5
Business type:
Domestic Limited Liability Company (LLC)
Family Practitioners:
Emilia Jacang (President, Director, Pediatrics, Medical Doctor),Anabell I. Rafanan (Office Manager),Leovigilvo M. Ramirez (Family Practitioner),...
Agent:
Leovigildo M Ramirez,1712 Liliha St STE 304, Honolulu, HI 96817 (Physical)

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