Provider Demographics
NPI:1699595264
Name:RIZI, GEMMA (MPHARM BDS DDS)
Entity type:Individual
Prefix:DR
First Name:GEMMA
Middle Name:
Last Name:RIZI
Suffix:
Gender:F
Credentials:MPHARM BDS DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1601
Mailing Address - Country:US
Mailing Address - Phone:424-308-8594
Mailing Address - Fax:
Practice Address - Street 1:3835 MARTIN LUTHER KING JR BLVD BLDG SUITE101
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-3704
Practice Address - Country:US
Practice Address - Phone:310-879-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1107181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice