| Yang Yang Yu D.m.d, Inc | |
|
23595 Moulton Pkwy Ste I Laguna Hills CA 92653-1939 | |
| (949) 317-3197 | |
| (949) 317-3198 |
| Full Name | Yang Yang Yu D.m.d, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23595 Moulton Pkwy Ste I, Laguna Hills, California |
| Authorized Official Name and Position | Yang Yang Yu (PRESIDENT) |
| Authorized Official Contact | 9493173197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yang Yang Yu D.m.d, Inc 23595 Moulton Pkwy Ste I Laguna Hills CA 92653-1939 Ph: (949) 317-3197 | Yang Yang Yu D.m.d, Inc 23595 Moulton Pkwy Ste I Laguna Hills CA 92653-1939 Ph: (949) 317-3197 |
| NPI Number | 1497387310 |
|---|---|
| Provider Enumeration Date | 02/08/2020 |
| Last Update Date | 02/08/2020 |
| Medicare PECOS PAC ID | 3779913033 |
|---|---|
| Medicare Enrollment ID | O20200429000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497387310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Yang Yang Yu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720440936 PECOS PAC ID: 9234562000 Enrollment ID: I20200107001687 |
| Provider Name | Raffie Garabedian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841710316 PECOS PAC ID: 3274954904 Enrollment ID: I20200604000443 |
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