Ikazaki, Andrew
Ikazaki, Andrew is an sole proprietor health care provider with primary practice located at 11340 W Olympic Blvd Ste 360 , Los Angeles CA 90064-1624. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Ikazaki, Andrew can be contacted via phone (310) 473-2727.Contact Information
Primary practice address
11340 W Olympic Blvd Ste 360
Los Angeles CA 90064-1624
Phone: (310) 473-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 105743 | California |
Profile Details
| NPI number | 1497431175 |
|---|---|
| LBN Legal business name | Ikazaki, Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2023 |
| Last updated | Jun 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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