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Contact Information

CPC HAWAII LIFE CENTER LLC
1330 ALA MOANA BLVD
UNIT 9
HONOLULU, HI96814-4200
 Phone: 808-945-5433
 Fax: 808-380-1465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CPC HAWAII LIFE CENTER LLC

NPI # 1104379536
LBN Legal business name CPC HAWAII LIFE CENTER LLC
Authorized official MICHAEL PASQUALE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2016
Last updated 02/21/2017 - About 9 years ago
Identifiers
HI License # DOS696
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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