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REGENTS OF THE UNIVERSITY OF UCLA MAXILLOFACIAL PROSTHODONTICS NPI 1285771378


NPI Information

NPI: 1285771378
Provider Name: REGENTS OF THE UNIVERSITY OF UCLA MAXILLOFACIAL PROSTHODONTICS

Doing Business As: UCLA MAXILLOFACIAL PROSTHETICS

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
10833 LE CONTE AVE RM AO-156A CHS
BOX 951668
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-6510
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REGENTS OF THE UNIVERSITY OF UCLA MAXILLOFACIAL PROSTHODONTICS is a prosthodontics dentist in Los Angeles, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. REGENTS OF THE UNIVERSITY OF UCLA MAXILLOFACIAL PROSTHODONTICS NPI is 1285771378. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ucla Maxillofacial Prosthetics.

The provider's business location address is:

10833 LE CONTE AVE RM AO-156A CHS
BOX 951668
LOS ANGELES, CA
ZIP 90095-075
Phone: (310) 825-6510
Fax: (310) 206-4201

The provider's authorized official is Eric C Sung .
The authorized official title is Director and has the following contact phone number (310) 206-6407.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 12/12/2014.


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
11223P0700XDentistProsthodontics38370CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W2228MEDICARE PINCALIFORNIA
2G91297MEDICAIDCALIFORNIA

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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