OrganizationActive
Centro Medico and Dental Inc
NPI 1568256329 · Dental Clinic/Center · Los Angeles, CA
Centro Medico and Dental Inc is a Dental Clinic/Center organization in Los Angeles, CA (NPI 1568256329).
Provider details
- NPI number
- 1568256329
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Valeria Souchutski, Administration(310) 383-9295
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
2417 S. San Pedro St.
Los Angeles, CA 90011-1518
Phone: (213) 749-3934
Fax: (213) 749-0994
Street-level locationGet directions
Mailing address
417 S Wetherly Dr.
Beverly Hills, CA 90211-3519
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Centro Medico and Dental Inc's NPI number?
- Centro Medico and Dental Inc's National Provider Identifier (NPI) is 1568256329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centro Medico and Dental Inc?
- Centro Medico and Dental Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centro Medico and Dental Inc located?
- Centro Medico and Dental Inc's practice location on file with NPPES is 2417 S. San Pedro St., Los Angeles, CA 90011-1518.
- What is Centro Medico and Dental Inc's phone number?
- The practice phone number listed in the NPPES registry for Centro Medico and Dental Inc is (213) 749-3934.
- Who is the authorized official for Centro Medico and Dental Inc?
- The authorized official listed on Centro Medico and Dental Inc's NPPES record is Valeria Souchutski, Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centro Medico and Dental Inc's NPI active?
- Yes — Centro Medico and Dental Inc's NPI (1568256329) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.