Healthcare Provider Details

I. General information

NPI: 1841211075
Provider Name (Legal Business Name): Y.M.WU DDS & C.H.LAN DDS PROF. CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4988 PASEO PADRE PKWY # 204
FREMONT CA
94555-3412
US

IV. Provider business mailing address

4988 PASEO PADRE PKWY # 204
FREMONT CA
94555-3412
US

V. Phone/Fax

Practice location:
  • Phone: 510-792-5551
  • Fax: 510-792-5570
Mailing address:
  • Phone: 510-792-5551
  • Fax: 510-792-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number41185
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number43744
License Number StateCA

VIII. Authorized Official

Name: DR. YEMING WU
Title or Position: OWNER
Credential: DDS
Phone: 510-792-5551