Organization Active NPI

Yang Yang Yu D.M.D, Inc

Doing business as Elite Dental Group

  • Dental Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1497387310
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YANG YANG YU D.M.D, INC
Doing business as
Elite Dental Group
Practice address
23595 Moulton Pkwy Ste I
Laguna Hills, CA 92653-1939
Phone
(949) 317-3197
Fax
(949) 317-3198
NPI assigned
Feb 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Authorized official

Name
Yang Yang Yu, DMD
Title
President
Phone
(949) 317-3197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

23595 Moulton Pkwy Ste I
Laguna Hills, CA 92653-1939

Mailing address

23595 Moulton Pkwy Ste I
Laguna Hills, CA 92653-1939
Phone (949) 317-3197

Other names 1

  • ELITE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1497387310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23595 MOULTON PKWY STE I",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531939",
            "telephone_number": "949-317-3197",
            "fax_number": "949-317-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23595 MOULTON PKWY STE I",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531939",
            "telephone_number": "949-317-3197",
            "fax_number": "949-317-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG YANG YU D.M.D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "YANG",
        "authorized_official_middle_name": "YANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-317-3197",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.