CRYSTAL CHANEL CABANSAG


Address: 2226 Liliha St Ste 302, Honolulu, HI 96817-1605
Phone: 8085214344

CRYSTAL CHANEL CABANSAG (NPI# 1528376597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528376597
Entity Type Individual
Full Name CRYSTAL CHANEL CABANSAG
Credential PA
Practice Address 2226 Liliha St Ste 302
Honolulu
HI 96817-1605
Mailing Address 11240 San Mateo Dr Apt A
Loma Linda
CA 92354-3463
Practice Telephone 8085214344
Mailing Telephone 8173085339
Enumeration Date 2010-09-23
Last Update Date 2010-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2226 LILIHA ST STE 302
City HONOLULU
State HI
Zip Code 96817-1605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154866473 Golden Dermatology LLC Dermatology 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 2016-12-21
1194112391 Ethan Thacher Routt Dermatology 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 2015-04-25

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1144737925 Cancer Center of Hawaii, LLC Radiology 2226 Liliha St, #b2, Honolulu, HI 96817 2018-01-03
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851795066 Nicholle Hassell Physician Assistant 71 Country Club Rd Apt D, Honolulu, HI 96817-1403 2014-10-17
1841449956 Scott Adam Denny Physician Assistant 1010 Pensacola St Fl 5, Honolulu, HI 96814-2118 2008-09-12
1245406958 Leena Kit Ngee Hong Physician Assistant 3030 Pualei Cir, #206, Honolulu, HI 96815-4947 2008-05-02
1457861940 Lindsey Leary Crandall Physician Assistant 935 Makahiki Way, Honolulu, HI 96826-2896 2017-10-10
1194184796 Christina Lee Starks Physician Assistant 1132 Bishop St, Honolulu, HI 96813-2807 2016-02-11
1063885713 Sol Lazarus Physician Assistant 770 Kapiolani Blvd Ste 705, Honolulu, HI 96813-5241 2015-11-03
1275904930 Kelsie Look Physician Assistant 500 Ala Moana Blvd Ste 1-302, Honolulu, HI 96813-4925 2015-10-07
1215344668 Matthew Kwock Physician Assistant 321 North Kuakini Street, Suite 607, Honolulu, HI 96817 2014-07-17
1598178543 Joel David Minoru Hamaguchi Physician Assistant 550 S Beretania St, Suite 502, Honolulu, HI 96813-2414 2014-06-07
1972913309 Joelle Kawahara Physician Assistant 888 S King St, Honolulu, HI 96813-3097 2014-05-07
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Competitor

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City HONOLULU
Zip Code 96817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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