Basic Information
| Provider Information | |||||||||
| NPI: | 1437151032 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHING | ||||||||
| FirstName: | DIANE | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1415 AUPUPU ST | ||||||||
| Address2: | |||||||||
| City: | KAILUA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967344144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8088882805 | ||||||||
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| Practice Location | |||||||||
| Address1: | 91-525 FARRINGTON HWY | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | KAPOLEI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 96707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086973800 | ||||||||
| FaxNumber: | 8086973818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2005 | ||||||||
| LastUpdateDate: | 08/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD-8553 | HI | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 52707 | 01 | CMSP/HSP | OTHER | 0165620 | 05 | MA | MEDICAID | 551267 | 01 | AETNA /US HEALTHCARE (43) | OTHER | J24602 | 01 | BCBS-MA (218) | OTHER | P2774102 | 01 | OXFORD (34) | OTHER | 204372 | 01 | HPHC (7) | OTHER | 3351755 | 01 | AETNA/US HEALTHCARE HMO46 | OTHER | 210351 | 01 | MEDICAL LICENSE # (1) | OTHER | 9259605 | 01 | CIGNA (33) | OTHER | 210351 | 01 | TUFTS (42) | OTHER |