Individual provider · Type 1 NPI

Kelly De la Torre

Periodontics · Los Angeles, CA

NPI number 1538004288 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (714) 390-0574 Map

Mailing address

10933 Rochester Ave
Los Angeles, CA 90024-7702

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X33932 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1538004288

Kelly De la Torre's National Provider Identifier is 1538004288, issued on Apr 21, 2026. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 21, 2026.