Healthcare Provider Details

I. General information

NPI: 1780291138
Provider Name (Legal Business Name): ALOHA PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 ALA MOANA BLVD STE 1024
HONOLULU HI
96813-5415
US

IV. Provider business mailing address

4348 WAIALAE AVE # 153
HONOLULU HI
96816-5767
US

V. Phone/Fax

Practice location:
  • Phone: 808-945-5433
  • Fax: 808-773-7694
Mailing address:
  • Phone: 808-330-5100
  • Fax: 808-773-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANTHONY PASQUALE
Title or Position: MEDICAL DIRECTOR/PHYSICIAN
Credential: D.O.
Phone: 808-945-5433