DR. PATRICIA PANUCCI (NPI# 1053707265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053707265 |
| Entity Type | Organization |
| Organization Name | DR. PATRICIA PANUCCI |
| Other Organization Name | BEACH BRACES |
| Practice Address |
1730 Manhattan Beach Blvd Suite B Manhattan Beach CA 90266-6220 |
| Practice Telephone | 3103790006 |
| Mailing Telephone | 3103790006 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | DR. PATRICIA PANUCCI (OWNER) |
| Authorized Official Telephone | 3103790006 |
| Authorized Official Credential | D.M.D., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
51124 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Beach Braces | Former Legal Business Name - Organization |
| Street Address |
1730 MANHATTAN BEACH BLVD SUITE B |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235240417 | Patricia J Panucci | Dentist | 1730 Manhattan Beach Blvd, Suite B, Manhattan Beach, CA 90266-6224 | 2006-08-31 |
| 1689720633 | Maria Carmen Ramos | Dentist | 1730 Manhattan Beach Blvd, Manhattan Beach, CA 90266-6224 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354421 | Ha Na Song | Dentist | 1635 23rd St, Manhattan Beach, CA 90266-4046 | 2020-04-08 |
| 1164643094 | Amy A Gimlen | Dentist | 973 Manhattan Beach Blvd Ste C, Manhattan Beach, CA 90266-5131 | 2007-05-01 |
| 1235240417 | Patricia J Panucci | Dentist | 1730 Manhattan Beach Blvd, Suite B, Manhattan Beach, CA 90266-6224 | 2006-08-31 |
| 1447803259 | Sean Prusky Dds Inc | Dentist | 500 S Sepulveda Blvd, Manhattan Beach, CA 90266-6948 | 2019-07-21 |
| 1184001695 | Ryan James Hungate | Dentist | 973 Manhattan Beach Blvd, Suite C, Manhattan Beach, CA 90266-5131 | 2015-05-05 |
| 1578896445 | Summer Lynn Blake | Dentist | 451 Manhattan Beach Blvd, Suite #d-224, Manhattan Beach, CA 90266-5345 | 2009-09-10 |
| 1699933291 | Adams&gimlen Dental Partnership | Dentist | 973 Manhattan Beach Blvd, #c, Manhattan Beach, CA 90266-5131 | 2008-05-30 |
| 1316962095 | James M Duffin, Dds., Michael P Adams, Dds., P.C. | Dentist | 973 Manhattan Beach Blvd, Suite C, Manhattan Beach, CA 90266-5131 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.