Healthcare Provider Details

I. General information

NPI: 1972423754
Provider Name (Legal Business Name): HAWAII EAR NOSE AND THROAT ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD STE 1300
HONOLULU HI
96814-4489
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD STE 1300
HONOLULU HI
96814-4489
US

V. Phone/Fax

Practice location:
  • Phone: 808-951-4900
  • Fax: 808-951-4908
Mailing address:
  • Phone: 808-951-4900
  • Fax: 808-951-4908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SEUNG LEE
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 808-351-7345