Healthcare Provider Details

I. General information

NPI: 1396449807
Provider Name (Legal Business Name): CHLOE ANNE ON YEE LIU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WARD AVE STE 1065
HONOLULU HI
96814-1617
US

IV. Provider business mailing address

1100 WARD AVE STE 1065
HONOLULU HI
96814-1617
US

V. Phone/Fax

Practice location:
  • Phone: 808-599-4004
  • Fax: 808-599-4007
Mailing address:
  • Phone: 808-599-4004
  • Fax: 808-599-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDOS-2870
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: