Healthcare Provider Details
I. General information
NPI: 1205705183
Provider Name (Legal Business Name): HAWAIIAN PALLIATIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/30/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 ALA MOANA BLVD DOWNTOWN STE 7400 OFFICE 439
HONOLULU HI
96813-4902
US
IV. Provider business mailing address
500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US
V. Phone/Fax
- Phone: 888-227-8884
- Fax: 833-593-2739
- Phone: 888-227-8884
- Fax: 833-593-2739
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
JASSER
Title or Position: PRINCIPAL OWNER
Credential: MD
Phone: 888-227-8884