Healthcare Provider Details

I. General information

NPI: 1376478461
Provider Name (Legal Business Name): YIHAO JIANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 S MAIN ST
SALINAS CA
93901-2205
US

IV. Provider business mailing address

35040 HOLLYHOCK ST
UNION CITY CA
94587-5330
US

V. Phone/Fax

Practice location:
  • Phone: 831-272-7921
  • Fax:
Mailing address:
  • Phone: 510-585-7851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113137
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: