Individual provider · Type 1 NPI

Justin Kapono Grandalen, PA-C

Physician Assistant · Honolulu, HI

NPI number 1003779786 Active

Practice location

1819 Paula Dr
Honolulu, HI 96816-3937

Call (808) 393-1809 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1239098 (HI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003779786

Justin Kapono Grandalen, PA-C's National Provider Identifier is 1003779786, issued on Dec 8, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Honolulu, HI. The record was last updated on Dec 8, 2025.