Elmer E. Bangloy D.M.D., a Prof Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DG-032020 Issued in CA

Legal business name

ELMER E. BANGLOY D.M.D., A PROF CORPORATION

Practice address

4128 Verdugo Rd
Los Angeles, CA 90065-3821

Phone

(323) 256-1225

Fax

(323) 230-6148

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elmer Espanola Bangloy, DDSNPI 1881801603

Title

Owner, President

Phone

(323) 256-1225

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elmer Espanola Bangloy, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1881801603
  NPD (past) Authorized official
• Lyza O Ruiz de Luzuriaga, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1063629897
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467669291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-256-1225",
            "fax_number": "323-230-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-256-1225",
            "fax_number": "323-230-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER E. BANGLOY D.M.D., A PROF CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANGLOY",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "ESPANOLA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "323-256-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DG-032020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena C Ells, AU.D.
• Ellsworth Grant, M.D., Medical Corp
• Mariah Elly, MD
• Yasmeen O. Elmelige
• Lori A. Elmelund, M.F.T.
• Cheryl Lynn Elmer, LMFT
• Elmnt Ir MD PC
• Elmo Detox
• Emily Ann Elmore, AMFT
• Joann Grace Elmore

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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.