Individual
IVANA YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4281 KATELLA AVE STE 112, LOS ALAMITOS, CA 90720-3502
(714) 484-8700
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
104710
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2019
Last updated
07/17/2025
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