Provider Demographics
NPI:1366782740
Name:CHAMBI, YANINA (DDS)
Entity type:Individual
Prefix:DR
First Name:YANINA
Middle Name:
Last Name:CHAMBI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7016
Mailing Address - Country:US
Mailing Address - Phone:951-961-8345
Mailing Address - Fax:
Practice Address - Street 1:985 KENDALL DR STE B
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-4315
Practice Address - Country:US
Practice Address - Phone:360-746-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60642900122300000X
CA53197122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADE60642900OtherSTATE LICENSE