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Azzah Widatalla, DDS
NPI 1316544570 · Dentist · Los Angeles, CA
Azzah Widatalla, DDS is a Dentist provider in Los Angeles, CA (NPI 1316544570).
Provider details
- NPI number
- 1316544570
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 105590 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5455 Wilshire Blvd Ste 850
Los Angeles, CA 90036-4234
Phone: (323) 930-4600
Street-level locationGet directions
Mailing address
428 N Ogden Dr Apt 4
Los Angeles, CA 90036-1726
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Frequently asked questions
- What is Azzah Widatalla's NPI number?
- Azzah Widatalla's National Provider Identifier (NPI) is 1316544570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Azzah Widatalla's specialty?
- Azzah Widatalla is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Azzah Widatalla located?
- Azzah Widatalla's practice location on file with NPPES is 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234.
- What is Azzah Widatalla's phone number?
- The practice phone number listed in the NPPES registry for Azzah Widatalla is (323) 930-4600.
- Is Azzah Widatalla's NPI active?
- Yes — Azzah Widatalla's NPI (1316544570) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.