Healthcare Provider Details

I. General information

NPI: 1033592571
Provider Name (Legal Business Name): DR. JOSHUA BUSSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 305
HONOLULU HI
96817-2360
US

IV. Provider business mailing address

321 N KUAKINI ST STE 305
HONOLULU HI
96817-2360
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-5688
  • Fax: 808-523-0030
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-26150
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: