Provider Demographics
NPI:1437343928
Name:WEE PEDIATRICS, INC.
Entity Type:Organization
Organization Name:WEE PEDIATRICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-677-9988
Mailing Address - Street 1:1585 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4522
Mailing Address - Country:US
Mailing Address - Phone:808-941-3363
Mailing Address - Fax:808-949-0483
Practice Address - Street 1:94-1388 MOANIANI ST
Practice Address - Street 2:SUITE 207
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-6602
Practice Address - Country:US
Practice Address - Phone:808-677-9988
Practice Address - Fax:808-671-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIHI00120OtherSUBMITTER ID