Island Medical and Beauty Clinic LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ISLAND MEDICAL AND BEAUTY CLINIC LLC

Practice address

3470 Waialae Ave Ste 6
Honolulu, HI 96816-2654

Phone

(808) 888-3100

Fax

(833) 673-0575

NPI assigned

Jan 26, 2021

Last updated

Oct 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Le Lee, DO

Title

Medical Director

Phone

(808) 466-5222

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23069/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667001600000",
    "number": "1821688508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 WAIALAE AVE STE 6",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162654",
            "telephone_number": "808-888-3100",
            "fax_number": "833-673-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 WAIALAE AVE STE 6",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162654",
            "telephone_number": "808-888-3100",
            "fax_number": "833-673-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL AND BEAUTY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-466-5222",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Endodontics, Inc
• Island Endodontics, Inc
• Island Fever LLC
• Island Foot Care Corp
• Island Integrated Health LLC
• Island Medical Consultants, LLC
• Island Medical Group, LLC
• Island Medical Group, LLC (IV Ocean Therapy)
• Island Mobility Solutions LLC
• Island Neuro-Rehabilitation Associates

• Multi-Specialty Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Multi-Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.