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Organization

PACIFIC SKIN INSTITUTE

Active
Parent organization
PACIFIC SKIN INSTITUTE
Organization subpart
Yes

Provider details

NPI number
Legal business name
PACIFIC SKIN INSTITUTE
Authorized official
KEVIN YEN (ADMINISTRATOR)
(916) 925-6950
Entity
Organization

Contact information

Practice address
69-201 WAIKOLOA BEACH DR STE 2F-13, WAIKOLOA, HI 96738-5810
(808) 500-0404
(808) 867-8985
Mailing address
1495 RIVER PARK DR STE 200, SACRAMENTO, CA 95815-4517
(916) 925-6950
(916) 925-3680

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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