Anna L. Young
Individual provider Active NPI General Practice Dentistry · Glendora, CA
NPI 1790792257 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1790792257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 37344 (CA)
- Practice address
- 410 South Glendora Ave
Suite 210
Glendora, CA 91741-6207 - Phone
- (626) 335-5114
- Fax
- (626) 335-8566
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 29, 2015 through Jun 29, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37344 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Lee, D.D.S., a Professional Corporation | General Practice | Past | Accepting new patients |
| Yun Yi Chen Dental Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37344 | CA | Yes |
Addresses
Primary practice location
410 South Glendora Ave
Suite 210
Glendora, CA 91741-6207
Mailing address
410 South Glendora Ave
Suite 210
Glendora, CA 91741-6207
Phone (626) 335-5114
Other names
- Anna Lee
Other providers in Glendora, CA
- Praveena Yetur
- Rosemary Yi
- Yong S. Chen, M.D., Inc.
- Kenneth K York
- Douglas James Yost
- Yao-Hsin Yu
- Carolyn Collins Yuille
- Yun Yi Chen Dental Corporation
- Owais Ahmed Zaidi
- Falamack Zaltash
All providers in Glendora, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.