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JETZABEL MEDINA PEREZ DDS
NPI 1073405445
Dentist in Los Angeles, CA

Active since July 18, 2025
255 S GRAND AVE STE 204, LOS ANGELES, CA 90012(213) 620-5777 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jetzabel Medina Perez Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JETZABEL MEDINA PEREZ DDS (NPI 1073405445) is an individual dentist in Los Angeles, California, licensed in California (111528) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1073405445
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJETZABEL MEDINA PEREZCredential: DDS
Location Address255 S GRAND AVE STE 204Los Angeles, CA 90012-3035
Mailing Address225 S Olive St Apt 402Los Angeles, CA 90012-4902 · (626) 806-0261
Phone(213) 620-5777
Sole ProprietorNo
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1073405445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 111528
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
255 S GRAND AVE STE 204, Los Angeles, CA 90012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA HANEL DDS
Dentist (General Practice)
255 S GRAND AVE STE 204
LOS ANGELES, CA 90012
Los Angeles County (213) 620-5777
CATHY MAK DMD
Dentist (General Practice)
255 S GRAND AVE STE 204
LOS ANGELES, CA 90012
Los Angeles County (213) 620-5777
ELISHA LIN
Dentist
255 S GRAND AVE STE 204
LOS ANGELES, CA 90012
Los Angeles County (213) 863-9464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jetzabel Medina Perez's NPI number?

The NPI number for Jetzabel Medina Perez is 1073405445. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Jetzabel Medina Perez located?

Jetzabel Medina Perez practices at 255 S Grand Ave Ste 204, Los Angeles, CA 90012. The listed phone number is (213) 620-5777.

What is Jetzabel Medina Perez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jetzabel Medina Perez accept?

Health plans from Florida Combined Life and Humana list Jetzabel Medina Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jetzabel Medina Perez was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.