CPC Hawaii Life Center LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

DOS696 Issued in HI

Legal business name

CPC HAWAII LIFE CENTER LLC

Practice address

1330 Ala Moana Blvd
Unit 9
Honolulu, HI 96814-4200

Phone

(808) 945-5433

Fax

(808) 380-1465

NPI assigned

Aug 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Anthony Pasquale, D.O.

Title

Ceo

Phone

(808) 945-5433

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1104379536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD",
            "address_2": "UNIT 9",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144200",
            "telephone_number": "808-945-5433",
            "fax_number": "808-380-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD",
            "address_2": "UNIT 9",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144200",
            "telephone_number": "808-945-5433",
            "fax_number": "808-380-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC HAWAII LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "PASQUALE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-945-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "HI",
            "license": "DOS696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Kay Cox
• Tome Courtney Cox
• Amy Coyle
• Trevor N Coyle
• Lyndsay Cozort
• CR Newton Co., LTD
• Douglas Keoni Crabbe, M.S., CCC-SLP
• Stephanie M. Crabbe, HIS
• Jesse Cracknell, D.C,
• Cradle N' Crayons, LLC

• Plastic Surgery Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Plastic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.