# AMY IWATA DDS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063607851
- **Authorized official:** DR. AMY IWATA DDS (OWNER)
- **Authorized official phone:** (323) 293-6188

## Contact information

- **Practice address:** 3756 SANTA ROSALIA DR, STE 504, LOS ANGELES, CA 90008-3606
- **Practice address phone:** (323) 293-6188
- **Mailing address:** 3756 SANTA ROSALIA DR, STE 504, LOS ANGELES, CA 90008-3606
- **Mailing address phone:** (323) 293-6188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 27151 | CA | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B 27151 | DENTICAL | CA |