MEDICARE: YE DENTAL OFFICE

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

General Provider Information

NPI Number	:	1699624189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YE DENTAL OFFICE

Provider Business Mailing Address
First Line	:	1702 S HOOVER ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-4962
Country	:	US
Telephone Number	:	213-383-8275
Fax Number	:	213-205-8415

Provider Business Practice Location Address
First Line	:	1702 S HOOVER ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-4962
Country	:	US
Telephone Number	:	213-383-8275
Fax Number	:	213-205-8415

Authorized Official
Title or Position	:	BILLING COORDINATOR
Name	:	ISABELL CHUNG
Credential	:
Telephone Number	:	213-304-0778

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

Similar Medicare Providers

1275639213 — DR. STEPHEN A. DIAMOND PH.D.
Practice Location Address:

6535 WILSHIRE BLVD STE 106
LOS ANGELES, CA
90048-4962

Practice Phone: 323-651-1118
Practice Fax:

1619657558 — JENNIFER CORNETT
Practice Location Address:

6535 WILSHIRE BLVD STE 115
LOS ANGELES, CA
90048-4962

Practice Phone: 424-235-4448
Practice Fax:

1689408601 — IV KICKS, LLC
Practice Location Address:

6535 WILSHIRE BLVD STE 103
LOS ANGELES, CA
90048-4962

Practice Phone: 845-323-2884
Practice Fax:

1124088273 — DR. JAMES MICHAEL LOCONTE DC
Practice Location Address:

4962 EL CAMINO REAL STE 120
LOS ALTOS, CA
94022-1410

Practice Phone: 650-210-8500
Practice Fax: 650-210-8501

1316167869 — MRS. YULIA KISELEV D.C.
Practice Location Address:

4962 EL CAMINO REAL , STE. 204
LOS ALTOS, CA
94022-1454

Practice Phone: 650-210-8981
Practice Fax: 650-210-0070

1518231331 — DR. LIANE RACHEL BACAL M.D.
Practice Location Address:

4962 EL CAMINO REAL , SUITE 103
LOS ALTOS, CA
94022-1454

Practice Phone: 650-319-8577
Practice Fax:

Directions to “YE DENTAL OFFICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.