Individual provider · Type 1 NPI
Ivana Yi
Periodontics · Los Alamitos, CA
NPI number
1457993610
Active
Practice location
4281 Katella Ave Ste 112
Los Alamitos, CA 90720-3502
Mailing address
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Other practice locations
- 11301 Wilshire Blvd, Los Angeles, CA 90073 · (310) 478-3711
- 11301 Wilshire Blvd, Los Angeles, CA 90073 · (310) 478-3711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Periodontics Primary | 1223P0300X | 104710 (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.
2 other providers at this address
Other periodontics providers in Los Alamitos
About NPI 1457993610
Ivana Yi's National Provider Identifier is 1457993610, issued on Oct 9, 2019. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Alamitos, CA. The record was last updated on Jul 17, 2025.