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.
Organization
YVONNE SHU D.D.S., INC
Active
Organization
YVONNE SHU D.D.S., INC
Active
Other names
Pomona Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE SHU RODRIGUEZ (PRESIDENT/ OWNER)
(909) 482-4500
Entity
Organization
Contact information
Practice address
1640 INDIAN HILL BLVD, POMONA, CA 91767-3728
(909) 482-4500
(909) 482-4502
Mailing address
1640 INDIAN HILL BLVD, POMONA, CA 91767-3728
(909) 482-4500
(909) 482-4502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771913
UNITED CONCORDIA
CA
01
—
B41547
HEALTHY FAMILIES
CA
05
—
D41547
—
CA
05
—
G9220601
—
CA
Enumeration date
01/04/2007
Last updated
04/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up