Provider Demographics
NPI:1881735413
Name:YEN, HONG-YUAN (DDS)
Entity type:Individual
Prefix:DR
First Name:HONG-YUAN
Middle Name:
Last Name:YEN
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 1:21524 NORWALK BLVD
Mailing Address - Street 2:
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-1122
Mailing Address - Country:US
Mailing Address - Phone:562-402-4202
Mailing Address - Fax:562-402-9612
Practice Address - Street 1:21524 NORWALK BLVD
Practice Address - Street 2:
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716-1122
Practice Address - Country:US
Practice Address - Phone:562-402-4202
Practice Address - Fax:562-402-9612
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice