# ADONIS REGALA DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477798247
- **Authorized official:** ADONIS MANALO REGALA D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (213) 251-1400

## Contact information

- **Practice address:** 1269 S UNION AVE, LOS ANGELES, CA 90015-2043
- **Practice address phone:** (213) 251-1400
- **Practice address fax:** (213) 251-2800
- **Mailing address:** 1269 S UNION AVE, LOS ANGELES, CA 90015-2043
- **Mailing address phone:** (213) 251-1400
- **Mailing address fax:** (213) 251-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 43555 | CA | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 02/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D43555 | DENTI-CAL | CA |
| 01 | — | G93523-01 | DENTI-CAL | CA |