Provider Demographics
NPI:1154350148
Name:HAWAII EAR NOSE AND THROAT CONSULTANTS CORP
Entity type:Organization
Organization Name:HAWAII EAR NOSE AND THROAT CONSULTANTS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEUNG
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-351-7345
Mailing Address - Street 1:725 KAPIOLANI BLVD
Mailing Address - Street 2:2301
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6012
Mailing Address - Country:US
Mailing Address - Phone:808-351-7345
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1300
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4489
Practice Address - Country:US
Practice Address - Phone:808-951-4900
Practice Address - Fax:808-951-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI12358207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty