| 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 |
|---|---|
| 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 |
|---|---|
| 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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