# ISLAND MEDICAL AND BEAUTY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821688508
- **Authorized official:** LE LEE DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (808) 466-5222

## Contact information

- **Practice address:** 3470 WAIALAE AVE STE 6, HONOLULU, HI 96816-2654
- **Practice address phone:** (808) 888-3100
- **Practice address fax:** (833) 673-0575
- **Mailing address:** 3470 WAIALAE AVE STE 6, HONOLULU, HI 96816-2654
- **Mailing address phone:** (808) 888-3100
- **Mailing address fax:** (833) 673-0575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2021
- **Last updated:** 10/29/2022
