OrganizationActive
Orthodontics Only
NPI 1730534751 · Orthodontics and Dentofacial Orthopedics Dentistry · Hawthorne, CA
Provider details
- NPI number
- 1730534751
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rosa Salazar, Administrator(310) 644-4412
- License
- 17997 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
11633 Hawthorne Blvd
Ste. 500
Hawthorne, CA 90250-2321
Phone: (310) 644-4412
Fax: (310) 644-7355
Street-level locationGet directions
Mailing address
11633 Hawthorne Blvd
Hawthorne, CA 90250-2321
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2016-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.