Individual
JUSTIN KAPONO GRANDALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1819 PAULA DR, HONOLULU, HI 96816-3937
(808) 393-1809
Mailing address
1819 PAULA DR, HONOLULU, HI 96816-3937
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1239098
HI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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