Healthcare Provider Details

I. General information

NPI: 1073688081
Provider Name (Legal Business Name): ASIA PACIFIC PLASTIC SURGERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BERETANIA ST STE 888
HONOLULU HI
96814-1871
US

IV. Provider business mailing address

1401 S BERETANIA ST STE 888
HONOLULU HI
96814-1871
US

V. Phone/Fax

Practice location:
  • Phone: 808-585-8855
  • Fax: 808-532-8880
Mailing address:
  • Phone: 808-585-8855
  • Fax: 808-532-8880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD12927
License Number StateHI

VIII. Authorized Official

Name: SHIM CHING
Title or Position: DIRECTOR
Credential: MD
Phone: 808-585-8855