Doctor Name: | DR. DENNIS YENN |
NPI Number: | 1326068578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | E4165 |
Business Practice Address: | 10878 Bloomfield St #401 Toluca Lake, CA - 916022213 |
Business Phone Number: | 8185085211 |
Business Fax Number: | 7758904170 |
Mailing Address: | 10878 Bloomfield St, #401 TOLUCA LAKE |
State: | CA |
Postal Code: | 916022213 |
Phone Number: | 8185085211 |
Fax Number: | 7758904170 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 01/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |