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

Cerisa Clouse, DDS

Individual provider Dentist · NPI 1316281090

Cerisa Clouse, DDS is a Dentist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11980 San Vicente Blvd Ste 619
Los Angeles, CA 90049-6604
Phone: (310) 459-2303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61688 (CA)

Record details

NPI number1316281090
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 19, 2012
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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