MEDICARE: PYANG DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1447105747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PYANG DDS INC

Provider Business Mailing Address
First Line	:	3600 N VERDUGO RD STE 203
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1258
Country	:	US
Telephone Number	:	818-249-1824
Fax Number	:	818-249-1826

Provider Business Practice Location Address
First Line	:	3600 N VERDUGO RD STE 203
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1258
Country	:	US
Telephone Number	:	818-249-1824
Fax Number	:	818-249-1826

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	PAUL YANG
Credential	:	DDS
Telephone Number	:	310-738-0358

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “PYANG DDS INC ” Practice Location

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