| Chi Lifestyle Medical Center Llc | |
|
934 Maunawili Cir Kailua HI 96734-4619 | |
| (808) 261-7801 | |
| (808) 261-7725 |
| Full Name | Chi Lifestyle Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 934 Maunawili Cir, Kailua, Hawaii |
| Authorized Official Name and Position | Elizabeth C Christenson (OWNER) |
| Authorized Official Contact | 8087793985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi Lifestyle Medical Center Llc 934 Maunawili Cir Kailua HI 96734-4619 Ph: (808) 261-7801 | Chi Lifestyle Medical Center Llc 934 Maunawili Cir Kailua HI 96734-4619 Ph: (808) 261-7801 |
| NPI Number | 1700035953 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 7719037761 |
|---|---|
| Medicare Enrollment ID | O20090612000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700035953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD-12322 (Hawaii) | Primary |
| Provider Name | Elizabeth C Christenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306971049 PECOS PAC ID: 7911932322 Enrollment ID: I20051005000822 |
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