Yeo Family Dental Group, a Professional Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YEO FAMILY DENTAL GROUP, A PROFESSIONAL CORP

Practice address

4560 Admiralty Way Ste 350
Marina del Rey, CA 90292-5446

Phone

(310) 822-8481

Fax

(310) 822-8083

NPI assigned

Nov 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamie L Yeo, DDSNPI 1669994943

Title

Owner

Phone

(310) 822-8481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Lynn Yeo, DDS

  • General Practice Dentistry
  • Marina del Rey, CA
  • NPI 1669994943
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1295249662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925446",
            "telephone_number": "310-822-8481",
            "fax_number": "310-822-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925446",
            "telephone_number": "310-822-8481",
            "fax_number": "310-822-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEO FAMILY DENTAL GROUP, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "YEO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-822-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Yang
• Yun K Yang
• Aria Yarmand, D.C.
• Tejal Yarmand, MFT
• Ryan Yavorsky, DO
• Jamie Lynn Yeo, DDS
• Samantha Yo, OTR/L
• David Yoo, O.D.
• Douye D Youduba-Tantua
• Justin Coleman Young, M.D.

• Dentist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.