Yam Gong Gan in San Diego - General Practice

Yam Gong Gan - NPI 1972705036

Yam Gong Gan is a General Practice in San Diego, California. Yam Gong Gan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Yam Gong Gan is 1972705036. The last update date is 2007-07-08.

Yam Gong Gan's current location address is 9524 Kearny Villa Rd, San Diego, California. You can contact this provider via phone number 8582718850. The mailing address for Yam Gong Gan is 9524 Kearny Villa Rd, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Yam Gong Gan
Address 9524 Kearny Villa Rd, San Diego, California
Phone Number 8582718850
Fax Number
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1972705036
Provider Enumeration Date 2007-06-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9524 Kearny Villa Rd
City San Diego
State California (CA)
Post Code 921264582
Phone Number 8582718850
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 32304
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32304 CA STATE LICENSE NUMBER

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FAQs about Yam Gong Gan

What is the unique 10-digit identification code assigned to Yam Gong Gan by the Centers for Medicare & Medicaid Services?

The Yam Gong Gan has been issued the NPI (National Provider Identifier) 1972705036, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Yam Gong Gan's facilities are geographically located?

The facilities of Yam Gong Gan are physically situated at the following location: 9524 Kearny Villa Rd, San Diego, CA, 921264582.

What is Yam Gong Gan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Yam Gong Gan is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When was the Yam Gong Gan's 1972705036 issued?

The Yam Gong Gan's 1972705036 was issued on 2007-06-01.

When was the information regarding Yam Gong Gan most recently updated?

The details pertaining to the Yam Gong Gan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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