Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Medical Group, LLC

Organization Preferred Provider Organization · NPI 1457446585

Pediatric Medical Group, LLC is a Preferred Provider Organization in Honolulu, Hawaii. Licensed in Hawaii. Registered with an NPI since 2006.

Licensed in
HI
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1712 Liliha Street SUITE304
Honolulu, HI 96817-3114
Phone: (808) 522-1313
Fax: (808) 522-1309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 1854 (HI)

Record details

NPI number1457446585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Jacang — Pediatrician · (808) 522-1313
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1712 Liliha Street, Suite304, Honolulu, HI 96817-3114

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