Kimia Azizi, DDS
Dentist in Encino, CA. Individual provider (NPI-1).
NPI number1760102529
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1760102529
- Entity type
- Individual (NPI-1)
- Name
- Kimia Azizi
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2022
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 107944 | CA | Yes |
Practice location
5139 Balboa Blvd Unit 16Encino, CA 91316-3470
Phone 818-926-8356
Mailing address
5139 Balboa Blvd Unit 16Encino, CA 91316-3470
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