Provider Demographics
NPI:1306398995
Name:SALES, HERBERT YU (PROVIDER/CAREGIVER)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:YU
Last Name:SALES
Suffix:
Gender:M
Credentials:PROVIDER/CAREGIVER
Other - Prefix:
Other - First Name:HERBERT
Other - Middle Name:YU
Other - Last Name:SALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PROVIDER
Mailing Address - Street 1:94-1112 LUMIKULA ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3939
Mailing Address - Country:US
Mailing Address - Phone:808-428-8259
Mailing Address - Fax:808-200-5552
Practice Address - Street 1:94-1112 LUMIKULA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3939
Practice Address - Country:US
Practice Address - Phone:808-428-8259
Practice Address - Fax:808-200-5552
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIXXXXXXXOtherPROVIDER