Individual provider Active NPI

Alyssa Hanel, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1194423814
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109160 Issued in CA
Practice address
255 S Grand Ave Ste 204
Los Angeles, CA 90012-3035
Phone
(213) 620-5777
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 109160 CA Primary

Addresses

Primary practice location

255 S Grand Ave Ste 204
Los Angeles, CA 90012-3035

Mailing address

3161 S Sepulveda Blvd Apt 202
Los Angeles, CA 90034-4266
Phone (973) 487-0584

Other practice location 1

11600 Wilshire Blvd Ste 520
Los Angeles, CA 90025-1788
Phone (310) 444-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Don Mungcal DDS Brentwood Inc. General Practice CurrentSince Oct 1, 2023 Accepting new patients
Stephen Weisberg DDS Inc Dentist PastSince Aug 30, 2017 Accepting new patients
Don Mungcal, D.D.S., Inc. General Practice PastSince Jun 15, 2025 Accepting new patients

Locations

11600 Wilshire Blvd
Ste 520
Los Angeles, CA 90025
Phone (310) 444-9900

255 S Grand Ave
Ste 204
Los Angeles, CA 90012
Phone (213) 620-5777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1194423814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 S SEPULVEDA BLVD APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344266",
            "telephone_number": "973-487-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S GRAND AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123035",
            "telephone_number": "213-620-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 Wilshire Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251788",
            "country_code": "US",
            "telephone_number": "310-444-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEL",
        "first_name": "ALYSSA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109160",
            "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 Jun 10, 2025; 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.