Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centro Medico and Dental Inc

Organization Dental Clinic/Center · NPI 1568256329

Centro Medico and Dental Inc is a Dental Clinic/Center in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2417 S San Pedro St
Los Angeles, CA 90011-1518
Phone: (213) 749-3934
Fax: (213) 749-0994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1568256329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valeria Souchutski — Administration · (310) 383-9295
NPI enumeratedApril 7, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address417 S Wetherly Dr., Beverly Hills, CA 90211-3519

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