Healthcare Provider Details

I. General information

NPI: 1396309738
Provider Name (Legal Business Name): HOFKES AND YIN DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10688 LOS ALAMITOS BLVD
LOS ALAMITOS CA
90720-2118
US

IV. Provider business mailing address

10688 LOS ALAMITOS BLVD
LOS ALAMITOS CA
90720-2118
US

V. Phone/Fax

Practice location:
  • Phone: 562-342-2299
  • Fax:
Mailing address:
  • Phone: 562-342-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VIVIAN YIN
Title or Position: GENERAL DENTIST/CO OWNER
Credential: DDS
Phone: 562-342-2299