Honolulu Plastic Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7302 Issued in HI

Legal business name

HONOLULU PLASTIC SURGERY LLC

Practice address

1100 Ward Ave
Ste 808
Honolulu, HI 96814-1600

Phone

(808) 792-6262

Fax

(808) 792-6263

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Kai Ming Wong, M.D.

Title

Member

Phone

(808) 792-6262

Specialties & licenses 1

Addresses

Other names 1

• Randy Wong MD LLC Former legal business name

Locations

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1730402934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235627",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233510",
            "telephone_number": "808-792-6262",
            "fax_number": "808-792-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "STE 808",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141600",
            "telephone_number": "808-792-6262",
            "fax_number": "808-792-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "KAI MING",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-792-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "HI",
            "license": "7302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randy Wong MD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ambulatory Surgical Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.