Provider Demographics
NPI:1962640599
Name:DR. YOUNG HO CHA, D.D.S. CORP
Entity Type:Organization
Organization Name:DR. YOUNG HO CHA, D.D.S. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:HO
Authorized Official - Last Name:CHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-915-8880
Mailing Address - Street 1:151 N AZUSA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1342
Mailing Address - Country:US
Mailing Address - Phone:626-915-8880
Mailing Address - Fax:626-915-8881
Practice Address - Street 1:151 N AZUSA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1342
Practice Address - Country:US
Practice Address - Phone:626-915-8880
Practice Address - Fax:626-915-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty