Mana Therapeutics LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MANA THERAPEUTICS LLC

Practice address

1728 Howard Ave
Las Vegas, NV 89104-3631

Phone

(702) 884-3414

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Juan Mejia

Title

Owner

Phone

(702) 884-1696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1780428698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 HOWARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 HOWARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043631",
            "telephone_number": "702-884-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-884-1696"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alister Yi-Heng Man, D.M.D.
• Denni-Lee P Man
• Gisella-Marie A Man
• Lee Deng Man, MD
• Mana Medical Shlifer
• Derick Ian Becios Manabat
• Ellaine Manabat, MSN, APRN, PMHNP-BC
• Irma Ocampo Manabat
• Matthew Lorenz Becios Manabat
• Paul Taggart Manabat, PHARMD

• Multi-Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.