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KELLY DE LA TORRE
NPI 1538004288
Dentist - Periodontics in Los Angeles, CA

Active since April 21, 2026
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(714) 390-0574 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kelly De La Torre NPPES

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

KELLY DE LA TORRE (NPI 1538004288) is an individual periodontics provider in Los Angeles, California, licensed in California (33932) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1538004288
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameKELLY DE LA TORRE
Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003
Mailing Address10933 Rochester AveLos Angeles, CA 90024-7702 · (714) 390-0574
Phone(714) 390-0574
Sole ProprietorYes
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1538004288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 33932
Definition
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.
11301 WILSHIRE BLVD, Los Angeles, CA 90073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JOANNA ZUHAIL CENTENO I
Licensed Vocational Nurse
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MS. APRIL S. BULLOCK MSW,ACSW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3000
NICOLE CHAN LISW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 487-6026
DANIEL SMEE SOCIAL WORK
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
AMANDA SALVESTRINI MS, RD
Dietitian, Registered
11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
RACHEL DAJANI MD
Internal Medicine
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
HARRISON BODRIE LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 987-8310
MR. ROBERTO CARMONA-VERGARA ASW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

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 Kelly De La Torre's NPI number?

The NPI number for Kelly De La Torre is 1538004288. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Kelly De La Torre located?

Kelly De La Torre practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (714) 390-0574.

What is Kelly De La Torre's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kelly De La Torre was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.