NPI 1003779786

Justin Kapono Grandalen, PAC

Practitioner Physician Assistant Honolulu, HI

Practice location

Address: 1819 Paula Dr, Honolulu, HI 96816-3937
Phone: (808) 393-1809

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1239098 (HI)

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Registry record

NPI: 1003779786
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2025
Record last updated: 8 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.