Organization Active NPI

Lan Yang D.D.S.Inc

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1932325800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53299 Issued in CA
Legal business name
LAN YANG D.D.S.INC
Practice address
1045 E Valley Blvd
#A209
San Gabriel, CA 91776-3661
Phone
(626) 572-7238
Fax
(626) 572-7238
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lan Yang II, DMDNPI 1962539403
Title
President
Phone
(626) 572-7238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53299 CA Primary

Addresses

Primary practice location

1045 E Valley Blvd
#A209
San Gabriel, CA 91776-3661

Mailing address

1045 E Valley Blvd
#A209
San Gabriel, CA 91776-3661
Phone (626) 572-7238

National Provider Directory

National Provider Directory

Locations

1045 E Valley Blvd
Ste A209
San Gabriel, CA 91776
Phone (626) 572-7238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932325800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY BLVD",
            "address_2": "#A209",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763661",
            "telephone_number": "626-572-7238",
            "fax_number": "626-572-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY BLVD",
            "address_2": "#A209",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763661",
            "telephone_number": "626-572-7238",
            "fax_number": "626-572-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN YANG D.D.S.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-572-7238",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • 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.