MEDICARE: GILLIAN A HIGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95031023	CA

General Provider Information

NPI Number	:	1699596049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILLIAN A HIGA

Provider Business Mailing Address
First Line	:	30658 GANADO DR
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-6223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	99-115 AIEA HEIGHTS DR STE 246
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-3914
Country	:	US
Telephone Number	:	808-784-3050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	03/24/2026

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Directions to “ GILLIAN A HIGA ” Practice Location

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