Healthcare Provider Details

I. General information

NPI: 1942886437
Provider Name (Legal Business Name): CJAYS TAXI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92-8845 PINEAPPLE PKWY
OCEAN VIEW HI
96704
US

IV. Provider business mailing address

85-4558 MAMALAHOA HWY
CAPTAIN COOK HI
96704-8500
US

V. Phone/Fax

Practice location:
  • Phone: 808-896-8524
  • Fax:
Mailing address:
  • Phone: 808-896-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER J LEIMBACH
Title or Position: OWNER/DRIVER
Credential:
Phone: 808-896-8524