Organization Active NPI

Loo Spark Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1003721689
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LOO SPARK DENTAL CORPORATION
Practice address
1194 S Lorena St
Los Angeles, CA 90023-2928
Phone
(323) 526-8189
Fax
(323) 526-8314
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcos Javier Torres, CEO
Title
President
Phone
(347) 913-2382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1194 S Lorena St
Los Angeles, CA 90023-2928

Mailing address

1194 S Lorena St
Los Angeles, CA 90023-2928
Phone (323) 526-8189

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1003721689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 S LORENA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232928",
            "telephone_number": "323-526-8189",
            "fax_number": "323-526-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 S LORENA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232928",
            "telephone_number": "323-526-8189",
            "fax_number": "323-526-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOO SPARK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-913-2382",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.