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GERYOUNG YANG D.D.S.; INC NPI 1770774184


NPI Information

NPI: 1770774184
Provider Name: GERYOUNG YANG, D.D.S.; INC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1355 FLORIN RD STE 8
SACRAMENTO, CA
ZIP 95822
Phone: (916) 393-4044
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GERYOUNG YANG, D.D.S.; INC is a preferred provider organization in Sacramento, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. GERYOUNG YANG, D.D.S.; INC NPI is 1770774184. The provider is registered as an organization entity type.

The provider's business location address is:

1355 FLORIN RD STE 8
SACRAMENTO, CA
ZIP 95822-200
Phone: (916) 393-4044
Fax: (916) 393-4077

The provider's authorized official is Geryoung Yang .
The authorized official title is Owner/president and has the following contact phone number (916) 393-4044.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 8/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization39500CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B-39500-02MEDICAIDCALIFORNIA
2B39500-03MEDICAIDCALIFORNIA

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: 4/28/2024

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