Healthcare Provider Details

I. General information

NPI: 1669386256
Provider Name (Legal Business Name): BREEZE ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21210 ANZA AVE
TORRANCE CA
90503-5418
US

IV. Provider business mailing address

21210 ANZA AVE
TORRANCE CA
90503-5418
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-5911
  • Fax:
Mailing address:
  • Phone: 310-540-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: RITA CHUANG
Title or Position: CEO
Credential: DDS
Phone: 310-540-5911