YVONNE SHU D.D.S. INC NPI 1366599060

NPI Information

  • NPI: 1366599060
  • Provider Name: YVONNE SHU D.D.S., INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: POMONA DENTAL PRACTICE
  • Address: 1640 INDIAN HILL BLVD
    POMONA, CA
    ZIP 91767
  • Phone: (909) 482-4500

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NPI Details

YVONNE SHU D.D.S., INC is a general practice dentist in Pomona, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. YVONNE SHU D.D.S., INC NPI is 1366599060. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Pomona Dental Practice.

The provider's business location address is:

1640 INDIAN HILL BLVD
POMONA, CA
ZIP 91767-728
Phone: (909) 482-4500
Fax: (909) 482-4502

The provider's authorized official is Yvonne Shu Rodriguez .
The authorized official title is President/ Owner and has the following contact phone number (909) 482-4500.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice41547CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1771913OTHERCALIFORNIAUNITED CONCORDIA
2B41547OTHERCALIFORNIAHEALTHY FAMILIES
3G9220601MEDICAIDCALIFORNIA
4D41547MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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