OrganizationYanin GonzalezDentistDental ProvidersPractice Address9317 Ignacio Comonfort Ste 1, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Yanin Gonzalez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1407440738Provider TypeOrganizationFull NameYanin GonzalezSubpartNoEnumeration Date2/26/2021Last Updated2/26/2021Contact InformationPractice LocationPractice Address9317 Ignacio Comonfort Ste 1, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(619) 908-1095Mailing LocationMailing Address4275 Executive Sq Ste 200, La Jolla, CA 92037-1476Phone(619) 488-3200Fax(619) 908-1095Authorized OfficialNameGonzalez, Yanin (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer