Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Skin Institute LLC

Organization Dermatology Physician · NPI 1710842661

Pacific Skin Institute LLC is a Dermatology Physician in Waikoloa, Hawaii. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

69-201 Waikoloa Beach Dr Ste 2F-13
Waikoloa, HI 96738-5810
Phone: (916) 925-7020
Fax: (916) 925-3680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1710842661
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPacific Skin Institute
Authorized official Kevin Yen — Administrator · (916) 925-6950
NPI enumeratedDecember 22, 2025
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address1495 River Park Dr Ste 200, Sacramento, CA 95815-4517

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