Healthcare Provider Details

I. General information

NPI: 1265845382
Provider Name (Legal Business Name): JOSE ROJALES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 WARD AVE 219B
HONOLULU HI
96814-4008
US

IV. Provider business mailing address

7247 KIPU PL
HONOLULU HI
96825-2717
US

V. Phone/Fax

Practice location:
  • Phone: 808-585-1424
  • Fax: 808-585-0379
Mailing address:
  • Phone: 415-217-9468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number822
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: