OrganizationActive
Pacific Skin Institute
NPI 1790649135 · Dermatology Physician · Waikoloa, HI
Provider details
- NPI number
- 1790649135
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pacific Skin Institute
- Organization subpart
- Yes
- Authorized official
- Kevin Yen, Administrator(916) 925-6950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
69-201 Waikoloa Beach Dr Ste 2f-13
Waikoloa, HI 96738-5810
Phone: (808) 500-0404
Fax: (808) 867-8985
Approximate (ZIP-level) locationGet directions
Mailing address
1495 River Park Dr Ste 200
Sacramento, CA 95815-4517
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.