Healthcare Provider Details

I. General information

NPI: 1104189356
Provider Name (Legal Business Name): IRIS KIMHAYOUNG NOH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRIS HA YOUNG KIM MD

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 4-470
HONOLULU HI
96813-4925
US

IV. Provider business mailing address

500 ALA MOANA BLVD 4-470
HONOLULU HI
96813
US

V. Phone/Fax

Practice location:
  • Phone: 808-495-0906
  • Fax: 808-495-4849
Mailing address:
  • Phone: 808-495-0906
  • Fax: 808-495-4849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD-21172
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberMD-21172
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: