Provider Demographics
NPI:1437318532
Name:YEH, CHIA-CHEN (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:CHIA-CHEN
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28633 S. WESTERN AVE
Mailing Address - Street 2:SUITE #205
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-0827
Mailing Address - Country:US
Mailing Address - Phone:310-831-9394
Mailing Address - Fax:310-515-2838
Practice Address - Street 1:28633 S. WESTERN AVE
Practice Address - Street 2:SUITE #205
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-0827
Practice Address - Country:US
Practice Address - Phone:310-831-9394
Practice Address - Fax:310-515-2838
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36632122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABUS-0059416Medicaid