UCLA GRAD ENDO CLINIC is an endodontics dentist in Los Angeles, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. UCLA GRAD ENDO CLINIC NPI is 1063630267. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
10833 LE CONTE AVE SUITE 30-125 CHS LOS ANGELES, CA ZIP 90095-668 Phone: (310) 825-4348 Fax: (310) 206-5030
The provider's authorized official is Mo Kwan Kang . The authorized official title is Assoc. Professor and has the following contact phone number (310) 825-8048.
The enumeration date for this NPI number is 4/23/2007 and was last updated on 10/2/2025.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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