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

Jetzabel Medina Perez, DDS

Individual provider Dentist · NPI 1073405445

Jetzabel Medina Perez, DDS is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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

255 S Grand Ave Ste 204
Los Angeles, CA 90012-3035
Phone: (213) 620-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 111528 (CA)

Record details

NPI number1073405445
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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