Individual ProviderSamson YangDentistDental ProvidersPractice Address5527 Clairemont Mesa Blvd, San Diego, CA 92117-2342(858) 467-0503PECOS EnrollmentBased on the most recent information from CMS, provider Samson Yang 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 ID1972891760Provider TypeIndividualFull NameYang, SamsonCredentialD.M.D.GenderMaleSole ProprietorYesEnumeration Date7/14/2011Last Updated4/13/2017Contact InformationPractice LocationPractice Address5527 Clairemont Mesa Blvd, San Diego, CA 92117-2342Phone(858) 467-0503Fax(858) 467-9103Mailing LocationMailing Address5527 Clairemont Mesa Blvd, San Diego, CA 92117-2342Phone(858) 467-0503Fax(858) 467-9103Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense60510California