Healthcare Provider Details

I. General information

NPI: 1891616066
Provider Name (Legal Business Name): NAMALA DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W EL PORTAL DR STE C
MERCED CA
95348-2856
US

IV. Provider business mailing address

155 W EL PORTAL DR STE C
MERCED CA
95348-2856
US

V. Phone/Fax

Practice location:
  • Phone: 209-749-1444
  • Fax:
Mailing address:
  • Phone: 209-749-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MONICA HERNANDEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 559-367-6130