MEDICARE: DR. CHIA-CHEN YEH D.D.S, M.S.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	36632	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437318532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIA-CHEN YEH D.D.S, M.S.D.

Provider Business Mailing Address
First Line	:	28633 S. WESTERN AVE
Second Line	:	SUITE #205
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-0827
Country	:	US
Telephone Number	:	310-831-9394
Fax Number	:	310-515-2838

Provider Business Practice Location Address
First Line	:	28633 S. WESTERN AVE
Second Line	:	SUITE #205
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-0827
Country	:	US
Telephone Number	:	310-831-9394
Fax Number	:	310-515-2838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	12/05/2025

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