Provider Demographics
NPI:1134014871
Name:OGAMI AVILA, JOY CHIDORI (RDH)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:CHIDORI
Last Name:OGAMI AVILA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:CHIDORI
Other - Last Name:OGAMI AVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:7403 S SEPULVEDA BLVD APT 106
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1687
Mailing Address - Country:US
Mailing Address - Phone:310-902-2043
Mailing Address - Fax:
Practice Address - Street 1:9000 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-5002
Practice Address - Country:US
Practice Address - Phone:310-287-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21998124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist