Provider Demographics
NPI:1912717265
Name:GAI, HONGYU (DMD)
Entity type:Individual
Prefix:
First Name:HONGYU
Middle Name:
Last Name:GAI
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 1:11784 CARMEL CREEK RD APT B105
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6751
Mailing Address - Country:US
Mailing Address - Phone:503-442-6674
Mailing Address - Fax:
Practice Address - Street 1:25395 MADISON AVE STE 103
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9003
Practice Address - Country:US
Practice Address - Phone:195-169-6566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1110081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice