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

Dr. Omar Moussa, DDS

Individual provider Dentist · NPI 1497645717

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

Licensed in
CA
In the registry since
2025
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

2160 S Beverly Glen Blvd Apt 226
Los Angeles, CA 90025-6036
Phone: (213) 394-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 111743 (CA)

Record details

NPI number1497645717
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 8, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

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