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

Dr. Azzah Widatalla, DDS

Individual provider Dentist · NPI 1316544570

Dr. Azzah Widatalla, DDS is a Dentist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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

5455 Wilshire Blvd Ste 850
Los Angeles, CA 90036-4234
Phone: (323) 930-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 105590 (CA)

Record details

NPI number1316544570
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

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