# TOOTH FAIRIES OF CALIFORNIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093422040
- **Authorized official:** MIRA YANG (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (916) 502-7252

## Contact information

- **Practice address:** 7915 LAGUNA BLVD STE 105, ELK GROVE, CA 95758-7945
- **Practice address phone:** (916) 502-7252
- **Mailing address:** 10373 GILLIAM DR, ELK GROVE, CA 95757-3512
- **Mailing address phone:** (916) 502-7252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2022
- **Last updated:** 10/31/2022