MEDICARE: DR. XIAOCHEN YIN DDS

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	1223G0001X	General Practice Dentistry	45546	CA

General Provider Information

NPI Number	:	1548316649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. XIAOCHEN YIN DDS

Provider Business Mailing Address
First Line	:	6050 SCRIPPS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-3216
Country	:	US
Telephone Number	:	858-457-1669
Fax Number	:	858-457-1669

Provider Business Practice Location Address
First Line	:	286 EUCLID AVE STE 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-3612
Country	:	US
Telephone Number	:	619-263-6683
Fax Number	:	619-263-0048

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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