HONOLULU PLASTIC SURGERY LLC – NPI #1730402934
Clinic/Center

HONOLULU PLASTIC SURGERY LLC is an AHC clinic located in HONOLULU, HI. NPPES has assigned the NPI number 1730402934 to HONOLULU PLASTIC SURGERY LLC on March 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is RANDY WONG MD LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 13 years ago on Jan 08, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HONOLULU PLASTIC SURGERY LLC below.

NPI Profile for
HONOLULU PLASTIC SURGERY LLC

NPI Number
1730402934
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HONOLULU PLASTIC SURGERY LLC
Former Legal Business Name: RANDY WONG MD LLC
Primary location
1100 WARD AVE
STE 808
HONOLULU, HI 96814-1600
Phone: (808) 792-6262 Fax: (808) 792-6263
Mailing address
PO BOX 235627
HONOLULU, HI 96823-3510
Phone: (808) 792-6262 Fax: (808) 792-6263
Organization Subpart
No
Authorized Official
RANDOLPH WONG
MEMBER
Phone: (808) 792-6262
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 HI 7302

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.