Healthcare Provider Details

I. General information

NPI: 1972467918
Provider Name (Legal Business Name): PATRICK JAMES D'ANGELO DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79-7223 HUAAINA PL
HOLUALOA HI
96725-8783
US

IV. Provider business mailing address

79-7223 HUAAINA PL
HOLUALOA HI
96725-8783
US

V. Phone/Fax

Practice location:
  • Phone: 808-345-4694
  • Fax:
Mailing address:
  • Phone: 808-345-4694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVE-416
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: