Justin Tyng Lun Yang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110150 Issued in CA

Practice address

1414 S Azusa Ave Ste B-10
West Covina, CA 91791-4088

Phone

(626) 430-7370

NPI assigned

Jun 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Xiaofang Yuki Lu DDS a Professional Dental Corporation

  • General Practice Dentistry
  • West Covina, CA
  • NPI 1245630474
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1972347607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S AZUSA AVE STE B-10",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S AZUSA AVE STE B-10",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914088",
            "telephone_number": "626-430-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JUSTIN",
        "middle_name": "TYNG LUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Y.a.Satyarahardja DDS.Inc.
• Alyssa Yacoub
• Matthew Yaggie
• George T Yang, M.D.
• Hsin-Yi Yang, AU.D.
• Linda Yang, M.D.
• Paul Yang, M.D.
• Shanchao Yang
• Steven Yang, FNP
• Rafik Yanni, D.D.S.

• General Practice Dentistry in West Covina, CA
• Providers in West Covina, 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 Jun 19, 2024; 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.