# HONOLULU PLASTIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Randy Wong MD LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730402934
- **Authorized official:** DR. RANDOLPH KAI MING WONG M.D. (MEMBER)
- **Authorized official phone:** (808) 792-6262

## Contact information

- **Practice address:** 1100 WARD AVE, STE 808, HONOLULU, HI 96814-1600
- **Practice address phone:** (808) 792-6262
- **Practice address fax:** (808) 792-6263
- **Mailing address:** PO BOX 235627, HONOLULU, HI 96823-3510
- **Mailing address phone:** (808) 792-6262
- **Mailing address fax:** (808) 792-6263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7302 | HI | Yes |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 01/08/2013