Healthcare Provider Details

I. General information

NPI: 1154826139
Provider Name (Legal Business Name): FANNY YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 306
HONOLULU HI
96817-2360
US

IV. Provider business mailing address

321 N KUAKINI ST STE 306
HONOLULU HI
96817-2360
US

V. Phone/Fax

Practice location:
  • Phone: 808-792-9888
  • Fax:
Mailing address:
  • Phone: 808-792-9888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD-23384
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-23384
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: