Healthcare Provider Details

I. General information

NPI: 1346104502
Provider Name (Legal Business Name): RALF IAN MAGDAY PASION AGPCNP-BC, AGNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 LILIHA ST STE 601
HONOLULU HI
96817-3564
US

IV. Provider business mailing address

1520 LILIHA ST STE 601
HONOLULU HI
96817-3564
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-0445
  • Fax:
Mailing address:
  • Phone: 808-523-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-5845
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: