Dr. Azzah Widatalla
Dentist

Address: 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234
Phone: 3239304600

Dr. Azzah Widatalla (NPI# 1316544570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1316544570
Entity Type Individual
Full Name Dr. Azzah Widatalla
Credential DDS
Gender Female
Practice Address 5455 Wilshire Blvd Ste 850
Los Angeles
CA 90036-4234
Practice Telephone 3239304600
Mailing Address 428 N Ogden Dr Apt 4
Los Angeles
CA 90036-1726
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-10-01
Last Update Date 2020-10-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 122300000X Dentist Dental Providers 105590 CA

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639776073 Stephanie Jeanne Bauman Dentist 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 2020-10-08
1104433796 Irena Starchenko Dentist 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 2020-09-28
1134734353 Mark Park Dentist 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 2020-09-14
1740895150 Chantelle Aabedi Dentist 2711 Casiano Rd, Los Angeles, CA 90077-9007 2020-09-11
1801401542 Yojeong Cho Dentist 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 2020-09-10
1518572247 William Hwang Dentist 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 2020-09-10
1912511056 Shervin Moshashaei Dentist 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 2020-09-05
1497366033 Jin Yi Dentist 11355 Washington Pl Apt 4, Los Angeles, CA 90066-5076 2020-08-16
1275141426 Yujin Lee Dentist 1517 S Wilton Pl, Los Angeles, CA 90019-4637 2020-07-14
1003445560 James C. Castelo, Dds, Inc. Dentist 5250 Santa Monica Blvd Ste 210, Los Angeles, CA 90029-1254 2020-04-06
Find all providers in LOS ANGELES

Office Location

Street Address 5455 WILSHIRE BLVD STE 850
City LOS ANGELES
State CA
Zip Code 90036-4234

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140198 Stephanie N Carter Dietitian, Registered 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 2020-06-26
1609492107 Katherine Niemela Registered Nurse 5619 W 4th St, Suite 5, Los Angeles, CA 90036 2020-06-19
1508384330 Matthew Milstein Psychologist 5675 West Olympic Blvd., Los Angeles, CA 90036 2017-08-31
1912423963 John Allen Ostlund Counselor 5675 W. Olympic Blvd, Los Angeles, CA 90036 2017-08-21
1306376629 Scott William Wilson Case Manager/Care Coordinator 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 2017-06-19
1205382298 Janice Payson Marriage & Family Therapist 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 2016-08-30
1134577281 Parul A Desai Registered Nurse 5800 Wilshire Blvd, Los Angeles, CA 90036 2016-05-31
1477914604 Sarah Frank Jarvis Art Therapist 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 2016-03-16
1558747162 Paul Oberon, Psy.d, Inc. Community/Behavioral Health 7421 Beverly Blvd., #10, Los Angeles, CA 90036 2015-08-05
1235543117 Benjamin Maixner Behavior Analyst 441 1/2 N Curson Ave, Los Angeles, CA 90036 2014-06-18
Find all providers in zip 90036

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.