Susan Manavi, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35141 Issued in CA

Legal business name

SUSAN MANAVI, DDS, INC

Practice address

12730 Hawthorne Blvd Ste D
Hawthorne, CA 90250-3919

Phone

(310) 644-4000

Fax

(310) 644-3232

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Susan Maanavi

Title

Owner

Phone

(310) 644-4000

Specialties & licenses 1

Addresses

Other names 1

• CHOICE DENTAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386868503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 HAWTHORNE BLVD STE D",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503919",
            "telephone_number": "310-644-4000",
            "fax_number": "310-644-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HAWTHORNE BLVD STE D",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503919",
            "telephone_number": "310-644-4000",
            "fax_number": "310-644-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MANAVI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAANAVI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-644-4000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Stewart
• Tahira Stewart, M.D.
• Amanda L Stowell, FNP-C
• Yumi Sugiyama, PT
• Sun Rise Hospice Care LLC
• Michael Sutcliffe Jr., PT
• Jennifer Swan, DPT
• Doreena Fe Viduya Taeza, PHYSICAL THERAPIST
• Robin Takashima
• Rhea Riza Talaver, PTA

• General Practice Dentistry in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.