Healthcare Provider Details

I. General information

NPI: 1174190367
Provider Name (Legal Business Name): KRISTY YANG DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5963 E SPRING ST
LONG BEACH CA
90808-3752
US

IV. Provider business mailing address

3459 WILLIAM PENN HWY
PITTSBURGH PA
15235-5431
US

V. Phone/Fax

Practice location:
  • Phone: 562-421-8401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS043147
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number108870
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: