Provider Demographics
NPI:1558428185
Name:YANG, CHIN YUH (DDS)
Entity Type:Individual
Prefix:
First Name:CHIN
Middle Name:YUH
Last Name:YANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10722 BEVERLY BLVD STE M
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2054
Mailing Address - Country:US
Mailing Address - Phone:562-699-6099
Mailing Address - Fax:562-699-6791
Practice Address - Street 1:10722 BEVERLY BLVD STE M
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2054
Practice Address - Country:US
Practice Address - Phone:562-699-6099
Practice Address - Fax:562-699-6791
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice