Hawaii Breast Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HAWAII BREAST CENTER, LLC

Practice address

1907 S Beretania St
Suite 501
Honolulu, HI 96826-1301

Phone

(808) 949-3444

Fax

(808) 949-7808

NPI assigned

Aug 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Weldon Hoque, M.D.

Title

Member

Phone

(808) 949-3444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417061060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S BERETANIA ST",
            "address_2": "SUITE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261301",
            "telephone_number": "808-949-3444",
            "fax_number": "808-949-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S BERETANIA ST",
            "address_2": "SUITE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261301",
            "telephone_number": "808-949-3444",
            "fax_number": "808-949-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII BREAST CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOQUE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-949-3444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25221801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawaii Advanced Medical Group, LLC
• Hawaii Air Ambulance, Inc
• Hawaii Anesthesia Group Inc
• Hawaii Behavioral Health, LLC
• Hawaii Behavioral Health, LLC
• Hawaii Cancer Care Inc
• Hawaii Cardiology LLC
• Hawaii Care Clinic Inc
• Hawaii Cellular Therapy and Transplant Laboratory
• Hawaii Center for Healing, LLC

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.