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General NPI Number Information
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NPI Number | 1881569838
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Entity Type | Organization
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Legal Business Name | SKINTEREST INC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 73-4976 KAMANU ST STE 210
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City | KAILUA KONA
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State | HI
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Zip | 96740-2698
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Country | US
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Telephone | 808-854-4039
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Fax | 808-442-4561
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Provider Business Mailing Address
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Address Line | 9663 SANTA MONICA BLVD # 698
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | LAUREN MOY
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Credential | MD
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Telephone | 310-488-4304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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