ANDREW IKAZAKI DDS
NPI 1497431175
Dentist - Periodontics in Los Angeles, CA

Active since June 26, 2023
11340 W OLYMPIC BLVD STE 360, LOS ANGELES, CA 90064(310) 473-2727 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Ikazaki Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW IKAZAKI DDS (NPI 1497431175) is an individual periodontics provider in Los Angeles, California, licensed in California (105743) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1497431175
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameANDREW IKAZAKICredential: DDS
Location Address11340 W OLYMPIC BLVD STE 360Los Angeles, CA 90064-1624
Mailing Address11340 W Olympic Blvd Ste 360Los Angeles, CA 90064-1624 · (310) 473-2727
Sole ProprietorYes
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
NPI 1497431175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 105743
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

11340 W OLYMPIC BLVD STE 360, Los Angeles, CA 90064

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
11340 W OLYMPIC BLVD STE 360
LOS ANGELES, CA 90064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Ikazaki's NPI number?

The NPI number for Andrew Ikazaki is 1497431175. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Andrew Ikazaki located?

Andrew Ikazaki practices at 11340 W Olympic Blvd Ste 360, Los Angeles, CA 90064. The listed phone number is (310) 473-2727.

What is Andrew Ikazaki's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Andrew Ikazaki accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Andrew Ikazaki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Ikazaki was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.