East 2 West Integrative Medicine LLC

Key facts

NPI

1740780949

Entity type

Organization (NPI type 2)

Primary specialty

Clinic/Center 261Q00000X

Legal business name

EAST 2 WEST INTEGRATIVE MEDICINE LLC

Practice address

98-199 Kamehameha Hwy Ste F3
Aiea, HI 96701

Phone

(808) 364-1555

Fax

(844) 771-9312

NPI assigned

Feb 14, 2018

Organization subpart

No

Authorized official

Name

Antonio Provencio, LAC NPI 1821598699

Title

Acupuncturist

Phone

(808) 364-1555

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Provencio, LAC Acupuncturist · Aiea, HI · NPI 1821598699
  NPD Authorized official ACUPUNCTURIST
• Cynthia Bodas, DAOM, L.AC. Acupuncturist · Aiea, HI · NPI 1982117222
  NPD (past) ACUPUNCTURIST
• Sophia Erina Gratz Massage Therapist · Aiea, HI · NPI 1679168645
  NPD (past)
• Chelsea Miyashiro Acupuncturist · Aiea, HI · NPI 1588209522
  NPD (past) ACUPUNCTURIST
• Han Yang, LAC Acupuncturist · Aiea, HI · NPI 1487268157
  NPD (past) ACUPUNCTURIST

National Provider Directory

Locations

Specialties & licenses

Addresses

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• Roy J Ebisu, MD
• Kaitlynn Miyoshi Ebisutani, MD
• Corina Ann Edgington, MD
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All providers in Aiea, HI · Clinic/Center in Hawaii