Organization
ISLAND FAMILY SURGICAL CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ROSE YAN MD (MEMBER)
(088) 682-2778
Entity
Organization
Contact information
Practice address
411 HUKU LII PL STE 304, KIHEI, HI 96753-7062
(808) 868-2277
(808) 439-6060
Mailing address
411 HUKU LII PL STE 304, KIHEI, HI 96753-7062
(808) 868-2277
(808) 439-6060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
09/12/2018
Last updated
12/30/2020
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