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PACIFIC MEDICAL DERMATOLOGY LLC
NPI 1639844681
Dermatology in Honolulu, HI

Active since August 11, 2021CLIA 12D2240065 · Microscopy
1888 KALAKAUA AVE STE C104, HONOLULU, HI 96815(808) 205-7266 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Medical Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC MEDICAL DERMATOLOGY LLC (NPI 1639844681) is a healthcare organization registered as a dermatology in Honolulu, Hawaii and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through October 14, 2027 and lists Patrick Pan, Member, as its authorized official.

NPPES Registry Identity

NPI1639844681
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePACIFIC MEDICAL DERMATOLOGY LLC
Location Address1888 KALAKAUA AVE STE C104Honolulu, HI 96815-1555
Mailing Address1888 Kalakaua Ave Ste C104Honolulu, HI 96815-1555
Phone(808) 205-7266
Organization SubpartNo
Authorized OfficialPatrick PanMember · (808) 205-7266
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1639844681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1888 KALAKAUA AVE STE C104, Honolulu, HI 96815
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D2240065

Pacific Medical Dermatology LLC · Honolulu, HI
Active · expires Oct 14, 2027
CLIA Number12D2240065
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorDr. Yun Sun Lee
Laboratory Phone(808) 989-6828
Laboratory LocationPacific Medical Dermatology LLC1888 Kalakaua Avenue Ste C104, Honolulu, HI 96815
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YUN SUN LEE MD
Dermatology
1888 KALAKAUA AVE STE C104
HONOLULU, HI 96815
Honolulu County (808) 989-6828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Medical Dermatology LLC's NPI number?

The NPI number for Pacific Medical Dermatology LLC is 1639844681. It was assigned to this organization in the NPPES registry on August 11, 2021.

Where is Pacific Medical Dermatology LLC located?

Pacific Medical Dermatology LLC is located at 1888 Kalakaua Ave Ste C104, Honolulu, HI 96815. The listed phone number is (808) 205-7266.

What is Pacific Medical Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Pacific Medical Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D2240065) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Medical Dermatology LLC was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.