Hiroshi Ishii-Adajar
Individual provider Active NPI Acupuncturist · Dededo, GU
NPI 1295500635 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1295500635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 19869 (CA)
- Practice address
- 390 Bumuchachu St
Dededo, GU 96929 - Phone
- (214) 802-6411
- NPI assigned
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19869 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19869 | CA | Yes |
Addresses
Primary practice location
390 Bumuchachu St
Dededo, GU 96929
Mailing address
PO Box 9243
Tamuning, GU 96931-5243
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.