Healthcare Provider Details

I. General information

NPI: 1548199524
Provider Name (Legal Business Name): YANG XU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 AUAHI ST UNIT 1413
HONOLULU HI
96813-5368
US

IV. Provider business mailing address

828 AUAHI ST UNIT 1413
HONOLULU HI
96813-5368
US

V. Phone/Fax

Practice location:
  • Phone: 808-679-7410
  • Fax:
Mailing address:
  • Phone: 808-679-7410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH-5235
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: