Lucas S Yen DDS a Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA28116 Issued in CA

Legal business name

LUCAS S YEN DDS A DENTAL CORP

Practice address

15726 1/2 E Gale Ave
Hacienda Heights, CA 91745

Phone

(626) 961-9757

Fax

(626) 961-9757

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lucas Shang Yen, DDS

Title

President

Phone

(626) 961-9757

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295840536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15726 1/2 E GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-961-9757",
            "fax_number": "626-961-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15726 1/2 E GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-961-9757",
            "fax_number": "626-961-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS S YEN DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "SHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-961-9757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA28116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B28116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shun Sophia Lu, DPM
• Trang Vu Lu, PA-C
• Victoria Lu, ATC
• Yang Lu
• Yang Lu
• Alexandra Ludwin, OTR/L
• Vicki Lufei, L.AC.
• Geoffrey Ramos Lumiqued
• Alexandria Luna
• Thien Luu, NP

• General Practice Dentistry in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.