Healthcare Provider Details
I. General information
NPI: 1841138989
Provider Name (Legal Business Name): YENM PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4110 EDISON AVE STE 206A
CHINO CA
91710-8417
US
IV. Provider business mailing address
4110 EDISON AVE STE 206A
CHINO CA
91710-8417
US
V. Phone/Fax
- Phone: 951-454-5577
- Fax: 951-599-7511
- Phone: 951-454-5577
- Fax: 951-599-7511
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TSEDAY
ABERRA
Title or Position: OWNER
Credential: PSYD
Phone: 951-454-5577