| J Yang Dental Corporation | |
|
9855 Erma Rd Suite 110 San Diego CA 92131-3001 | |
| (858) 578-2205 | |
| Not Available |
| Full Name | J Yang Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 9855 Erma Rd, San Diego, California |
| Authorized Official Name and Position | Joseph C Yang (OWNER) |
| Authorized Official Contact | 8585782205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Yang Dental Corporation 9855 Erma Rd Suite 110 San Diego CA 92131-3001 Ph: (858) 578-2205 | J Yang Dental Corporation 9855 Erma Rd Suite 110 San Diego CA 92131-3001 Ph: (858) 578-2205 |
| NPI Number | 1053863928 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 12/18/2017 |
| Medicare PECOS PAC ID | 9234490889 |
|---|---|
| Medicare Enrollment ID | O20180223000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053863928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (California) | Primary |
| Provider Name | Joseph C Yang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134192016 PECOS PAC ID: 1759694557 Enrollment ID: I20180223000363 |
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