Healthcare Provider Details

I. General information

NPI: 1306754213
Provider Name (Legal Business Name): DR. MILAGROS A LOO GENERAL DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13330 BLOOMFIELD AVE
NORWALK CA
90650-3251
US

IV. Provider business mailing address

1194 S LORENA ST
LOS ANGELES CA
90023-2928
US

V. Phone/Fax

Practice location:
  • Phone: 714-454-8301
  • Fax: 562-664-1711
Mailing address:
  • Phone: 323-526-8189
  • Fax: 323-526-8314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MILAGROS ANDRADA LOO
Title or Position: OWNER
Credential: DDS
Phone: 323-526-8189