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USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE NPI 1285024372


NPI Information

NPI: 1285024372
Provider Name: USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
925 W 34TH ST
SUITE #149
LOS ANGELES, CA
ZIP 90089
Phone: (213) 740-9648
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USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE is an oral and maxillofacial surgery dentist in Los Angeles, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE NPI is 1285024372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

925 W 34TH ST
SUITE #149
LOS ANGELES, CA
ZIP 90089-058
Phone: (213) 740-9648

The provider's authorized official is George Rosado .
The authorized official title is Office Manager and has the following contact phone number (213) 740-9648.

The enumeration date for this NPI number is 1/28/2015 and was last updated on 1/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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