Look up the most recent NPI and PECOS records

Yu-Song Yen

(<Unavail>)

Dentist

Dental Providers

5222 Balboa Ave Ste 71, San Diego, CA 92117-6964

(858) 279-1900

PECOS Enrollment

Based on the most recent information from CMS, provider Yu-Song Yen 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
1699951764
Provider Type
Organization
Full Name
Yu-Song Yen
Other Name
<Unavail>

Subpart
No
Enumeration Date
1/18/2008
Last Updated
6/20/2008

Contact Information

Practice Location

5222 Balboa Ave Ste 71, San Diego, CA 92117-6964

(858) 279-1900

Unlisted Fax

Mailing Location

5222 Balboa Ave Ste 71, San Diego, CA 92117-6964

(858) 279-1900

Unlisted Fax

Authorized Official

Yen, Yu-Song (Owner)

(858) 279-1900

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1801947254	Description Other	Issuer DENTI-CAL California

Yu-Song Yen

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Yang, Samson

Bancroft, Lindsay

Tarabishi Dds, Inc

Luckman, Valencia Tatania

Liu, Molly San Si Hsam

Vakili, Pardis Jonathan

Mallari, Danica Charisma

Stuart T. Tani Dds, A Dental Corp.

Aguigam, Holly Katherine

Refahi, Niknam