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

Azita Ezzati

Individual provider Dentist · NPI 1235995929

Azita Ezzati is a Dentist in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

5501 Newcastle Ave Apt 202
Encino, CA 91316-2176
Phone: (818) 277-9386
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109845 (CA)

Record details

NPI number1235995929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 22, 2024
Mailing address5501 Newcastle Ave Apt 202, Encino, CA 91316-2176

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