Healthcare Provider Details

I. General information

NPI: 1801055470
Provider Name (Legal Business Name): ALICIA GENICE TURLINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2239 N SCHOOL ST
HONOLULU HI
96819-2539
US

IV. Provider business mailing address

466 KUNEHI ST #1103
KAPOLEI HI
96707-2087
US

V. Phone/Fax

Practice location:
  • Phone: 808-791-9410
  • Fax:
Mailing address:
  • Phone: 808-679-9179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number16030
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: