Search › California › 207Q00000X
Niki Dejba, MD
NPI 1659952620 · on the registry since 2021
Practice
- Address
- 1075 N Western Ave Ste 110
Los Angeles, CA 90029 - Phone
- (213) 861-8700
- Fax
- (213) 861-8790
- Organisation at this address
- Jae Yon Chung Dental Inc
San Judas Medical Group IpaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1120 W Washington Blvd, Los Angeles, CA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California