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

Kevin Michael Hadidjaja

Individual provider General Practice Dentistry · NPI 1538765086

Kevin Michael Hadidjaja is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

905 E 2nd St Apt 336
Los Angeles, CA 90012-4465
Phone: (310) 347-8432
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS105752 (CA)

Record details

NPI number1538765086
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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