| Chester Yokoyama Dds, Dental Office, Inc. | |
|
1127 Wilshire Blvd Ste 908 Los Angeles CA 90017-3910 | |
| (213) 484-2625 | |
| (213) 484-6277 |
| Full Name | Chester Yokoyama Dds, Dental Office, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1127 Wilshire Blvd Ste 908, Los Angeles, California |
| Authorized Official Name and Position | Brenda Reyes (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 2134842625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Yokoyama Dds, Dental Office, Inc. 1127 Wilshire Blvd Ste 908 Los Angeles CA 90017-3910 Ph: (213) 484-2625 | Chester Yokoyama Dds, Dental Office, Inc. 1127 Wilshire Blvd Ste 908 Los Angeles CA 90017-3910 Ph: (213) 484-2625 |
| NPI Number | 1306539630 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 7416319421 |
|---|---|
| Medicare Enrollment ID | O20230808001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306539630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| Provider Name | Chester Lee Yokoyama |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144411463 PECOS PAC ID: 8325400336 Enrollment ID: I20230808002042 |
| Provider Name | Lloyd Herman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124294673 PECOS PAC ID: 0941663405 Enrollment ID: I20230830004067 |
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