Provider Demographics
NPI:1326437211
Name:MCANGEL ENTERPRISES LLC DBA HAWAII MEDICAL SKIN CARE
Entity Type:Organization
Organization Name:MCANGEL ENTERPRISES LLC DBA HAWAII MEDICAL SKIN CARE
Other - Org Name:HAWAII MEDICAL SKIN CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-780-7359
Mailing Address - Street 1:55 MERCHANT ST STE 1540
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4330
Mailing Address - Country:US
Mailing Address - Phone:808-780-7359
Mailing Address - Fax:
Practice Address - Street 1:55 MERCHANT ST STE 1540
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4330
Practice Address - Country:US
Practice Address - Phone:808-226-3165
Practice Address - Fax:808-262-8676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center