Provider Demographics
NPI:1043344534
Name:CALVIN K. YANG, DDS, P.C.
Entity type:Organization
Organization Name:CALVIN K. YANG, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:KWAN-KAI
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-580-8287
Mailing Address - Street 1:1266 SUMMIT POINT WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-8403
Mailing Address - Country:US
Mailing Address - Phone:760-580-8287
Mailing Address - Fax:
Practice Address - Street 1:6B LIBERTY STE 120
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-5833
Practice Address - Country:US
Practice Address - Phone:949-215-4400
Practice Address - Fax:949-215-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty