Individual
DR. WAYNE HIDEO OZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
10833 LE CONTE AVE. RM A0-156C CHS, LOS ANGELES, CA 90095
(310) 825-0834
(310) 794-2198
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36187
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
36187
CA
208200000X
Plastic Surgery Physician
G84481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36187
DENTAL LIC
CA
Enumeration date
03/12/2007
Last updated
01/06/2025
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