| Jun Young Yang Dds, Inc | |
|
3006 W Lincoln Ave Anaheim CA 92801-6129 | |
| (714) 828-0508 | |
| Not Available |
| Full Name | Jun Young Yang Dds, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3006 W Lincoln Ave, Anaheim, California |
| Authorized Official Name and Position | Jun Young Yang (OWNER) |
| Authorized Official Contact | 7148280508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jun Young Yang Dds, Inc 3006 W Lincoln Ave Anaheim CA 92801-6129 Ph: (714) 828-0508 | Jun Young Yang Dds, Inc 3006 W Lincoln Ave Anaheim CA 92801-6129 Ph: (714) 828-0508 |
| NPI Number | 1407475742 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Medicare PECOS PAC ID | 8820418825 |
|---|---|
| Medicare Enrollment ID | O20201013001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407475742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jun Y Yang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336684091 PECOS PAC ID: 6901226901 Enrollment ID: I20201013001623 |
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