Yew Dream Golf Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

YEW DREAM GOLF INC

Practice address

1301 S Beach Blvd Ste N
La Habra, CA 90631-1107

Phone

(562) 448-0770

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Oh

Title

General Manager

Phone

(562) 448-0770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1831997543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S BEACH BLVD STE N",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311107",
            "telephone_number": "562-448-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S BEACH BLVD STE N",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311107",
            "telephone_number": "562-448-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEW DREAM GOLF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "562-448-0770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Yang, DDS
• Bridget Ybarra
• Chong Kenneth Ye, D.M.D.
• Justin Wayne Years
• Yeou-Der Jan ,DDS
• Manuela Yim
• Eun Hye Yoon, L.AC.
• Eugene Y Young, D.O.
• Michelle Young
• Kyung Sook Yu, DDS

• Customized Equipment (DME) in La Habra, CA
• Providers in La Habra, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.