Healthcare Provider Details

I. General information

NPI: 1043104003
Provider Name (Legal Business Name): YIYANG NING DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 ARLINGTON AVE STE D4
RIVERSIDE CA
92504-1900
US

IV. Provider business mailing address

6160 ARLINGTON AVE STE D4
RIVERSIDE CA
92504-1900
US

V. Phone/Fax

Practice location:
  • Phone: 951-637-0013
  • Fax:
Mailing address:
  • Phone: 951-637-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number111600
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: