Provider Demographics
NPI:1962395780
Name:PEARL CITY HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:PEARL CITY HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-456-5553
Mailing Address - Street 1:PO BOX 11603
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-0603
Mailing Address - Country:US
Mailing Address - Phone:808-456-5553
Mailing Address - Fax:808-455-6520
Practice Address - Street 1:945 KAMEHAMEHA HWY STE 8
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2521
Practice Address - Country:US
Practice Address - Phone:808-456-5553
Practice Address - Fax:808-455-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty