Radiant Dental Hygiene Practice of Liona Amireh-Mabanga

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

621 Issued in CA

Legal business name

RADIANT DENTAL HYGIENE PRACTICE OF LIONA AMIREH-MABANGA

Doing business as

Radiant Dental Hygiene Practice of Liona Amireh-Mabanga, RDHAP

Practice address

19844 Via Ott
Santa Clarita, CA 91321-2192

Phone

(818) 355-6420

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Liona Amireh-MabangaNPI 1750739348

Title

Owner/Rdhap

Phone

(818) 355-6420

Specialties & licenses 1

Addresses

Other names 1

• Radiant Dental Hygiene Practice of Liona Amireh-Mabanga, RDHAP Doing business as

Practitioners 1

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

• Liona Amireh-Mabanga, RDH, BA, BS, RDHAP

  • Dental Hygienist
  • Santa Clarita, CA
  • NPI 1750739348
  NPD Authorized official

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1780126326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19844 VIA OTT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212192",
            "telephone_number": "818-355-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19844 VIA OTT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212192",
            "telephone_number": "818-355-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT DENTAL HYGIENE PRACTICE OF LIONA AMIREH-MABANGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "AMIREH-MABANGA",
        "authorized_official_first_name": "LIONA",
        "authorized_official_title_or_position": "OWNER/RDHAP",
        "authorized_official_telephone_number": "818-355-6420"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Dental Hygiene Practice of Liona Amireh-Mabanga, RDHAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Hygienist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.