IndividualActive
Jetzabel Medina Perez, DDS
NPI 1073405445 · Dentist · Los Angeles, CA
Jetzabel Medina Perez, DDS is a Dentist provider in Los Angeles, CA (NPI 1073405445).
Provider details
- NPI number
- 1073405445
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 111528 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 S Grand Ave Ste 204
Los Angeles, CA 90012-3035
Phone: (213) 620-5777
Street-level locationGet directions
Mailing address
225 S Olive St Apt 402
Los Angeles, CA 90012-4902
Registry dates
- Enumerated
- 2025-07-18
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is Jetzabel Medina Perez's NPI number?
- Jetzabel Medina Perez's National Provider Identifier (NPI) is 1073405445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jetzabel Medina Perez's specialty?
- Jetzabel Medina Perez is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jetzabel Medina Perez located?
- Jetzabel Medina Perez's practice location on file with NPPES is 255 S Grand Ave Ste 204, Los Angeles, CA 90012-3035.
- What is Jetzabel Medina Perez's phone number?
- The practice phone number listed in the NPPES registry for Jetzabel Medina Perez is (213) 620-5777.
- Is Jetzabel Medina Perez's NPI active?
- Yes — Jetzabel Medina Perez's NPI (1073405445) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.