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NPI Code Detail

MEDICARE: YENM PSYCHOLOGICAL CORPORATION

MEDICARE: YENM PSYCHOLOGICAL CORPORATION
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1841138989
Entity Type Code : Organization
Provider Name (Legal Business Name) : YENM PSYCHOLOGICAL CORPORATION
Provider Business Mailing Address
First Line : 4110 EDISON AVE STE 206A
Second Line :
City : CHINO
State : CA
Zip : 91710-8417
Country : US
Telephone Number : 951-454-5577
Fax Number : 951-599-7511
Provider Business Practice Location Address
First Line : 4110 EDISON AVE STE 206A
Second Line :
City : CHINO
State : CA
Zip : 91710-8417
Country : US
Telephone Number : 951-454-5577
Fax Number : 951-599-7511
Authorized Official
Title or Position : OWNER
Name : DR. TSEDAY ABERRA
Credential : PSYD
Telephone Number : 951-454-5577
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “YENM PSYCHOLOGICAL CORPORATION ” Practice Location

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