OrganizationActive
East 2 West Integrative Medicine LLC
NPI 1740780949 · Clinic/Center · Aiea, HI
Provider details
- NPI number
- 1740780949
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Antonio Provencio, Acupuncturist
Practice location
98-199 Kamehameha Hwy Ste F3
Aiea, HI 96701
Phone: (808) 364-1555
Fax: (844) 771-9312
Mailing address
98-199 Kamehameha Hwy Ste F3
Aiea, HI 96701-4820
Registry dates
- Enumerated
- 2018-02-14
- Last updated
- 2018-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.