Provider Demographics
NPI:1306341425
Name:YU, ERICA (DC)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 KAPIOLANI BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5310
Mailing Address - Country:US
Mailing Address - Phone:650-305-0163
Mailing Address - Fax:
Practice Address - Street 1:2499 KAPIOLANI BLVD
Practice Address - Street 2:STE 104
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-5310
Practice Address - Country:US
Practice Address - Phone:650-305-0163
Practice Address - Fax:833-809-8846
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor