Provider Demographics
NPI:1316367089
Name:STEVEN YANG, D.D.S., INC.
Entity Type:Organization
Organization Name:STEVEN YANG, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ZIU-TING
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-881-2731
Mailing Address - Street 1:6670 RESEDA BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5327
Mailing Address - Country:US
Mailing Address - Phone:818-881-2731
Mailing Address - Fax:818-881-9540
Practice Address - Street 1:6670 RESEDA BLVD STE 106
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5327
Practice Address - Country:US
Practice Address - Phone:818-881-2731
Practice Address - Fax:818-881-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30654122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty