Individual provider · Type 1 NPI

Joan Otomo-Corgel, DDS, MPH

Periodontics · Los Angeles, CA

NPI number 1346356045 Active

Practice location

1127 Wilshire Blvd, Suite #1110
Los Angeles, CA 90017-3901

Call (213) 481-0664 Map

Fax (213) 481-2902

Mailing address

2900 Manhattan Ave
Manhattan Beach, CA 90266-2051

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X25754 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1346356045

Joan Otomo-Corgel, DDS, MPH's National Provider Identifier is 1346356045, issued on Aug 22, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.