Manuel G. Domantaydds, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MANUEL G. DOMANTAYDDS, INC

Practice address

6200 Wilshire Blvd., Ste. 909
Los Angeles, CA 90048-5801

Phone

(323) 935-2111

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manuel G Domantay, DDS

Title

President

Phone

(323) 935-2111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Afsoon Barkhordar, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1093901944
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417161050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 909",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485810",
            "telephone_number": "323-935-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD., STE. 909",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-935-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL G. DOMANTAYDDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMANTAY",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-935-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cia Viana Manu
• Manu'a Airways, Inc. (Manu'a Airways)
• Manua Healthcare Foundation, Inc (Manua Healthcare)
• Bradley Edward Manubay, D.O.
• Manuel Acevedo Medical Group, a Medical Corporation
• Manuel Masaganda Ferreras (All State Optical)
• Carla Manuel-Gomez
• Carlon Laurence Manuel
• Gale M Manuel, LVN
• Isidore Ivan Manuel

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist 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.