ANTONIO PROVENCIO LAC NPI 1821598699

NPI Information

  • NPI: 1821598699
  • Provider Name: ANTONIO PROVENCIO, LAC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 98-199 KAMEHAMEHA HWY STE F3
    AIEA, HI
    ZIP 96701
  • Phone: (808) 364-1555

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NPI Details

Antonio Provencio, LAC is an acupuncturist in Aiea, HI. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Antonio Provencio, LAC NPI is 1821598699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

98-199 KAMEHAMEHA HWY STE F3
AIEA, HI
ZIP 96701
Phone: (808) 364-1555

The enumeration date for this NPI number is 2/17/2018 and was last updated on 7/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistCALIFORNIANo
2225700000XMassage TherapistCALIFORNIANo
3171100000XAcupuncturistHAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11231OTHERHAWAIIACUPUNCTURE STATE LICENSE
217178OTHERCALIFORNIAACUPUNCTURE STATE LICENSE
31740780949OTHERNPI FOR EAST 2 WEST INTEGRATIVE MEDICINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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