Healthcare Provider Details

I. General information

NPI: 1093041717
Provider Name (Legal Business Name): CINDY M CHANG L.A,C., LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HSIN-NI CHANG L.A,C., LMT

II. Dates (important events)

Enumeration Date: 10/30/2009
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-080 KAUHALE ST STE C17
AIEA HI
96701-4117
US

IV. Provider business mailing address

99-080 KAUHALE ST STE C17
AIEA HI
96701-4117
US

V. Phone/Fax

Practice location:
  • Phone: 808-485-1070
  • Fax: 808-488-9301
Mailing address:
  • Phone: 808-485-1070
  • Fax: 808-488-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number4748
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number598
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: