Yeou-Der Jan ,DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D35409 Issued in CA

Legal business name

YEOU-DER JAN ,DDS

Practice address

1480 S Harbor Blvd Ste 3
La Habra, CA 90631-7562

Phone

(714) 525-1151

Fax

(714) 525-1152

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yeou-Der Jan, DDSNPI 1093100661

Title

Partner

Phone

(714) 525-1151

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Yeou Der Jan, DDS

  • Dentist
  • La Habra, CA
  • NPI 1093100661
  NPD (past) Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871718031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 3",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317562",
            "telephone_number": "714-525-1151",
            "fax_number": "714-525-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 3",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317562",
            "telephone_number": "714-525-1151",
            "fax_number": "714-525-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEOU-DER JAN ,DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "YEOU-DER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-525-1151",
        "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": "D35409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B35409",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Wan-Ching Yang, DDS
• Betty Yang, DDS
• Bridget Ybarra
• Chong Kenneth Ye, D.M.D.
• Justin Wayne Years
• Yew Dream Golf Inc
• Manuela Yim
• Eun Hye Yoon, L.AC.
• Eugene Y Young, D.O.
• Michelle Young

• General Practice Dentistry in La Habra, CA
• Providers in La Habra, 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.