| Dr. Young Ho Cha, D.d.s. Corp | |
|
151 N Azusa Ave West Covina CA 91791-1342 | |
| (626) 915-8880 | |
| (626) 915-8881 |
| Full Name | Dr. Young Ho Cha, D.d.s. Corp |
|---|---|
| Speciality | Dentist |
| Location | 151 N Azusa Ave, West Covina, California |
| Authorized Official Name and Position | Young Ho Cha (PRESIDENT/C.E.O.) |
| Authorized Official Contact | 6269158880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Young Ho Cha, D.d.s. Corp 151 N Azusa Ave West Covina CA 91791-1342 Ph: (626) 915-8880 | Dr. Young Ho Cha, D.d.s. Corp 151 N Azusa Ave West Covina CA 91791-1342 Ph: (626) 915-8880 |
| NPI Number | 1962640599 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 01/22/2021 |
| Medicare PECOS PAC ID | 0446523823 |
|---|---|
| Medicare Enrollment ID | O20170906003508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962640599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
| Provider Name | Young Ho Cha |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144322447 PECOS PAC ID: 2264705649 Enrollment ID: I20170906003564 |
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