Healthcare Provider Details

I. General information

NPI: 1841120474
Provider Name (Legal Business Name): VICTORIA A LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 LILIHA ST
HONOLULU HI
96817-3562
US

IV. Provider business mailing address

1816 PALAMOI ST
PEARL CITY HI
96782-1563
US

V. Phone/Fax

Practice location:
  • Phone: 808-367-2935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA ACOSTA
Title or Position: LICENSED MASSAGE THERAPIST
Credential:
Phone: 808-367-2935