Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Ray Mittelmark, DMD, M.s.d., a Professional Corp

Organization Dental Clinic/Center · NPI 1588800510

Courtney Ray Mittelmark, DMD, M.s.d., a Professional Corp is a Dental Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8540 S Sepulveda Blvd #700
Los Angeles, CA 90045-3807
Phone: (310) 216-0101
Fax: (310) 216-1279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 61908 (CA)

Record details

NPI number1588800510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fabiola Ortega-Frasch — Manager · (310) 216-0101
Other names Playa Vista Orthodontics
NPI enumeratedDecember 22, 2008
Last updated in NPPESJanuary 25, 2016
Mailing address8540 S Sepulveda Blvd, 700, Los Angeles, CA 90045-3807

Other providers in Los Angeles