Direct Dermatology Professionals Hawaii PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DIRECT DERMATOLOGY PROFESSIONALS HAWAII PC

Practice address

1380 Lusitana St Ste 814
Honolulu, HI 96813-2444

Phone

(855) 944-7546

NPI assigned

Jul 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Wong, M.D.

Title

President

Phone

(855) 944-7546

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435968000000",
    "number": "1366825655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LYTTON AVE FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011541",
            "telephone_number": "855-944-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132444",
            "telephone_number": "855-944-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT DERMATOLOGY PROFESSIONALS HAWAII PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-04",
        "last_updated": "2015-07-04",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-944-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.