NPIMap

Organization Active NPI

Don Mungcal DDS Brentwood Inc.

Doing business as Brentwood Dental Care

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1407636335
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DON MUNGCAL DDS BRENTWOOD INC.
Doing business as
Brentwood Dental Care
Practice address
11600 Wilshire Blvd Ste 520
Los Angeles, CA 90025-1788
Phone
(310) 444-9900
NPI assigned
Sep 28, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Adonis Ramos Mungcal, DDSNPI 1518038470
Title
Owner
Phone
(310) 444-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 520
Los Angeles, CA 90025-1788

Mailing address

255 S Grand Ave Ste 204
Los Angeles, CA 90012-3035
Phone (213) 620-5777

Other names 1

  • Brentwood Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1407636335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S GRAND AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123035",
            "telephone_number": "213-620-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251788",
            "telephone_number": "310-444-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON MUNGCAL DDS BRENTWOOD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MUNGCAL",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-444-9900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2023; 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.