Individual provider · Type 1 NPI

Malia Russo

Physician Assistant · Honolulu, HI

NPI number 1417446402 Active

Practice location

1401 S Beretania St Ste 102
Honolulu, HI 96814-1871

Call (808) 356-5699 Map

Mailing address

2324 Kaala St
Honolulu, HI 96822-2201

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XAMD1425 (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 1417446402

Malia Russo's National Provider Identifier is 1417446402, issued on May 4, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Honolulu, HI. The record was last updated on Mar 5, 2026.