Healthcare Provider Details

I. General information

NPI: 1881686251
Provider Name (Legal Business Name): HELEN K YEUNG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 09/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6633 ATLANTIC AVE
BELL CA
90201-2523
US

IV. Provider business mailing address

6633 ATLANTIC AVE
BELL CA
90201-2523
US

V. Phone/Fax

Practice location:
  • Phone: 323-773-1000
  • Fax:
Mailing address:
  • Phone: 310-922-7270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number56102
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number052444
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: