Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 936451 | CA |
N | 1223E0200X | Endodontist | 936451 | CA |
Y | 1223G0001X | General Practice | 936451 | CA |
Y | 213EG0000X | General Practice | 936451 | CA |
N | 1223P0106X | Oral and Maxillofacial Pathology | 936451 | CA |
N | 1223P0221X | Pediatric Dentist | 936451 | CA |
N | 1223P0300X | Periodontist | 936451 | CA |
N | 1223P0700X | Prosthodontist | 936451 | CA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 936451 | CA |
N | 1223X0008X | Oral and Maxillofacial Radiology | 936451 | CA |
N | 1223X0400X | Orthodontists | 936451 | CA |
N | 122400000X | Denturist | 936451 | CA |
NPI | 1003004888 |
---|---|
Provider Name | Norma Yuen |
First Address | Chula Vista, CA 91912-6923 |
Second Address | Tijuana, BAJA CALIFORNIA 22350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2007 |
Last Update Date | 03/02/2010 |