Healthcare Provider Details

I. General information

NPI: 1467372441
Provider Name (Legal Business Name): YUCHEN YANG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 LA RICA AVE STE D
BALDWIN PARK CA
91706-3163
US

IV. Provider business mailing address

2500 WILSHIRE BLVD APT 921
LOS ANGELES CA
90057-5427
US

V. Phone/Fax

Practice location:
  • Phone: 213-245-6840
  • Fax:
Mailing address:
  • Phone: 213-245-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112953
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: