Individual provider · Type 1 NPI

Angela Faasalia Polu, PA-C

Medical Physician Assistant · Honolulu, HI

NPI number 1336867258 Active

Practice location

1329 Lusitana St Ste 206
Honolulu, HI 96813-2411

Mailing address

1621 Dole St Apt 403
Honolulu, HI 96822-4835

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X1340 (HI)
Physician Assistant 363A00000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1336867258

Angela Faasalia Polu, PA-C's National Provider Identifier is 1336867258, issued on Aug 16, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Honolulu, HI. The record was last updated on Apr 4, 2024.