Healthcare Provider Details

I. General information

NPI: 1295665933
Provider Name (Legal Business Name): BLUE WAVE MEDICAL BILLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7192 KALANIANAOLE HWY STE A-143A #370
HONOLULU HI
96825
US

IV. Provider business mailing address

7192 KALANIANAOLE HWY STE A-143A #370
HONOLULU HI
96825
US

V. Phone/Fax

Practice location:
  • Phone: 877-468-7977
  • Fax: 808-400-7397
Mailing address:
  • Phone: 877-468-7977
  • Fax: 808-400-7397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNA DELL
Title or Position: OWNER
Credential:
Phone: 877-468-7977