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

Dr. Carlos Mauricio Henao Ortega, DDS

Individual provider Dentist · NPI 1972282317

Dr. Carlos Mauricio Henao Ortega, DDS is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

25044 Peachland Ave Ste 100
Los Angeles, CA 90089-5746
Phone: (661) 287-4352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109335 (CA)

Record details

NPI number1972282317
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

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