Healthcare Provider Details

I. General information

NPI: 1831054469
Provider Name (Legal Business Name): SPA HAWAII YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 SEASIDE AVE STE 705
HONOLULU HI
96815-2541
US

IV. Provider business mailing address

334 SEASIDE AVE STE 705
HONOLULU HI
96815-2541
US

V. Phone/Fax

Practice location:
  • Phone: 808-807-6262
  • Fax:
Mailing address:
  • Phone: 808-807-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIN JUNG SEO
Title or Position: OWNER
Credential:
Phone: 808-807-6262