| Yang Yang Yu Dental Corporation | |
|
1419 Superior Ave Ste 6 Newport Beach CA 92663-2723 | |
| (949) 646-4300 | |
| Not Available |
| Full Name | Yang Yang Yu Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1419 Superior Ave Ste 6, Newport Beach, California |
| Authorized Official Name and Position | Yang Yu (OWNER) |
| Authorized Official Contact | 9496464300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yang Yang Yu Dental Corporation 1419 Superior Ave Ste 6 Newport Beach CA 92663-2723 Ph: (949) 646-4300 | Yang Yang Yu Dental Corporation 1419 Superior Ave Ste 6 Newport Beach CA 92663-2723 Ph: (949) 646-4300 |
| NPI Number | 1932743028 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 10/31/2019 |
| Medicare PECOS PAC ID | 8325471196 |
|---|---|
| Medicare Enrollment ID | O20191209002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932743028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Sam Gilani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134179443 PECOS PAC ID: 7911065495 Enrollment ID: I20081028000420 |
| Provider Name | Yang Yang Yu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720440936 PECOS PAC ID: 9234562000 Enrollment ID: I20200107001687 |
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