Healthcare Provider Details

I. General information

NPI: 1265886519
Provider Name (Legal Business Name): DR. YANGPEI CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7049 S DESERT BLVD STE 107
EL PASO TX
79835-8623
US

IV. Provider business mailing address

7049 S DESERT BLVD STE 107
EL PASO TX
79835-8623
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-9162
  • Fax:
Mailing address:
  • Phone: 310-853-9162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number32569
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: