Healthcare Provider Details

I. General information

NPI: 1528448313
Provider Name (Legal Business Name): MARIA ELENA NEWCOMER DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 CABRILLO AVE
TORRANCE CA
90501
US

IV. Provider business mailing address

1610 CABRILLO AVE
TORRANCE CA
90501
US

V. Phone/Fax

Practice location:
  • Phone: 310-515-5505
  • Fax: 424-731-7319
Mailing address:
  • Phone: 310-515-5505
  • Fax: 424-731-7319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number44959
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number44959
License Number StateCA

VIII. Authorized Official

Name: MARIA ELENA NEWCOMER
Title or Position: DOCTOR/OWNER
Credential: DDS
Phone: 310-308-2618