Provider Demographics
NPI:1386125888
Name:CHI, YIN YIN (DMD)
Entity type:Individual
Prefix:DR
First Name:YIN
Middle Name:YIN
Last Name:CHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6403 FELDER DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-5229
Mailing Address - Country:US
Mailing Address - Phone:408-981-8068
Mailing Address - Fax:
Practice Address - Street 1:5150 GRAVES AVE STE 6
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-5006
Practice Address - Country:US
Practice Address - Phone:408-998-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1031161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice