DR. MICHELLE IKOMA


Address: 925 W 34th St Ste 255, Los Angeles, CA 90089-0641
Phone: 2138211827

DR. MICHELLE IKOMA (NPI# 1134411523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134411523
Entity Type Individual
Full Name DR. MICHELLE IKOMA
Credential D.D.S.
Practice Address 925 W 34th St Ste 255
Los Angeles
CA 90089-0641
Mailing Address 5012 W 58th Pl
Los Angeles
CA 90056-1637
Practice Telephone 2138211827
Enumeration Date 2011-05-04
Last Update Date 2011-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
41093 CA Dental Providers

Office Location

Street Address 925 W 34TH ST STE 255
City LOS ANGELES
State CA
Zip Code 90089-0641

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962980201 Brittany Nicole Beasley Psychologist 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 2018-07-30
1548763675 Tien Ng Pharmacist Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 2018-03-15
1821503236 Theodore James Goldsmith Psychologist 1031 W 34th St Fl 3, Los Angeles, CA 90089 2017-12-07
1174046890 Erin Lindsay Mcintyre Occupational Therapist 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 2017-07-25
1831645571 Alyssa Cantal Student in an Organized Health Care Education/Training Program 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 2016-09-01
1841744638 Cheryl Jonghee Park Dentist 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 2016-08-09
1528412376 Mark Duan Ard Jr. Psychiatry & Neurology 1975 Zonal Ave, Los Angeles, CA 90089 2016-04-18
1851766679 Samantha Trout Student in an Organized Health Care Education/Training Program 1540 Alcazar St Chp-133, Los Angeles, CA 90089 2015-12-04
1215324363 Upama Giri Student in an Organized Health Care Education/Training Program 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 2015-04-15
1982015004 Martrice Ways Student in an Organized Health Care Education/Training Program 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 2014-05-12
Find all providers in zip 90089

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952902272 Prajna Banan Dentist 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 2020-11-03
1144749508 Jenna Benko Dentist 1849 Greenfield Ave Apt 201, Los Angeles, CA 90025 2017-09-15
1033635156 Lee Professional Dental Corp Dentist 10921 Wilshire Blvd Ste 812, Los Angeles, CA 90024-4003 2017-08-21
1841744638 Cheryl Jonghee Park Dentist 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 2016-08-09
1235593351 Eugenio Aquino Dentist 814 S Harvard Blvd, Apt 12, Los Angeles, CA 90005 2016-04-06
1710242847 Stacy L Yu Dentist 1435 S Bundy Dr, Apt 5, Los Angeles, CA 90025-2131 2012-07-04
1477825677 Sil Park Dentist 10833 Le Conte Ave Rm A0-156b, Uc Regents Maxillofacial Prosthetics, Los Angeles, CA 90095-1668 2012-02-02
1194013599 Injoon Bernard Yoo Dentist 3600 Wilshire Blvd. Suite 220, Los Angeles, CA 90010 2011-07-19
1477875458 Ryan Christopher Wallace Dentist 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 2010-02-18
1467696278 Jay Kenneth Huffaker Dentist 402 N Larchmont Blvd, Los Angeles, CA 90004-3014 2009-04-23
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90089

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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.

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