Organization Active NPI

Shawn Lee and Manoranjani Sambangi Dental Corporation

Doing business as Rancho Palos Verdes Dentistry Dental Group

  • Dentist
  • Rancho Palos Verdes, CA
National Provider Identifier
1396105060
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHAWN LEE AND MANORANJANI SAMBANGI DENTAL CORPORATION
Doing business as
Rancho Palos Verdes Dentistry Dental Group
Practice address
28901 S Western Ave Ste 131
Rancho Palos Verdes, CA 90275-0824
Phone
(310) 750-2470
Fax
(310) 817-6068
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Shawn Lee, DDS
Title
Owner Doctor
Phone
(310) 750-2470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

28901 S Western Ave Ste 131
Rancho Palos Verdes, CA 90275-0824

Mailing address

17000 Red Hill Avenue
Irvine, CA 92614
Phone (714) 845-8890

Other names 1

  • Rancho Palos Verdes Dentistry Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

28901 S Western Ave
Ste 131
Rancho Palos Verdes, CA 90275
Phone (310) 750-2470

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1396105060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 S WESTERN AVE STE 131",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750824",
            "telephone_number": "310-750-2470",
            "fax_number": "310-817-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN LEE AND MANORANJANI SAMBANGI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "310-750-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Palos Verdes Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.