Healthcare Provider Details

I. General information

NPI: 1982514618
Provider Name (Legal Business Name): PACIFIC MERDIAN PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 HOBRON LN STE PH1
HONOLULU HI
96815-1233
US

IV. Provider business mailing address

438 HOBRON LN STE PH1
HONOLULU HI
96815-1233
US

V. Phone/Fax

Practice location:
  • Phone: 808-862-8796
  • Fax: 808-977-4417
Mailing address:
  • Phone: 808-862-8796
  • Fax: 808-977-4417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KRYIJZTOFF NOVOTNAJ
Title or Position: PSYCHIATRIC MENTAL HEALTH NP
Credential: DNP
Phone: 808-862-8796