Organization
YEW DREAM GOLF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN OH (GENERAL MANAGER)
(562) 448-0770
Entity
Organization
Contact information
Practice address
1301 S BEACH BLVD STE N, LA HABRA, CA 90631-1107
(562) 448-0770
Mailing address
1301 S BEACH BLVD STE N, LA HABRA, CA 90631-1107
(562) 448-0770
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/24/2025
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