Cpc Hawaii Life Center Llc | |
1330 Ala Moana Blvd Unit 9 Honolulu HI 96814-4200 | |
(808) 945-5433 | |
(808) 380-1465 |
Full Name | Cpc Hawaii Life Center Llc |
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Speciality | Plastic Surgery |
Location | 1330 Ala Moana Blvd, Honolulu, Hawaii |
Authorized Official Name and Position | Michael Anthony Pasquale (CEO) |
Authorized Official Contact | 8089455433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cpc Hawaii Life Center Llc 1330 Ala Moana Blvd Unit 9 Honolulu HI 96814-4200 Ph: (808) 945-5433 | Cpc Hawaii Life Center Llc 1330 Ala Moana Blvd Unit 9 Honolulu HI 96814-4200 Ph: (808) 945-5433 |
NPI Number | 1104379536 |
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Provider Enumeration Date | 08/02/2016 |
Last Update Date | 02/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104379536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
208200000X | Plastic Surgery | DOS696 (Hawaii) | Primary |
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