Jin Yang | San Diego, CA • PECOS Search

Jin Yang

Dentist

Dental Providers

4310 Genesee Ave #108-B, San Diego, CA 92117

PECOS Enrollment

Based on the most recent information from CMS, provider Jin Yang does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1427129238
Provider Type
Individual
Full Name
Yang, Jin
Title
Mr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
11/13/2006
Last Updated
7/8/2007

Contact Information

Practice Location

4310 Genesee Ave #108-B, San Diego, CA 92117

Unlisted Fax

Mailing Location

4310 Genesee Ave #108-B, San Diego, CA 92117

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 49253 California