Individual provider · Type 1 NPI

Susan Ishioka, DDS, MS

Pediatric Dentistry · Los Alamitos, CA

NPI number 1679616379 Active

Practice location

5122 Katella Ave, Suite 112
Los Alamitos, CA 90720-2826

Fax (562) 598-3332

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X35506 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X35506 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1679616379

Susan Ishioka, DDS, MS's National Provider Identifier is 1679616379, issued on Feb 14, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Alamitos, CA. The record was last updated on Sep 11, 2025.