REGENTS OF UNIVERSITY OF CALIFORNIA NPI 1356476865

NPI Information

  • NPI: 1356476865
  • Provider Name: REGENTS OF UNIVERSITY OF CALIFORNIA
  • Classification: Dentist - 1223X0008X
  • Specialization: Oral and Maxillofacial Radiology
  • Entity Type: Organization
  • Doing Business As: UCLA DENTAL RADIOLOGY PRACTICE
  • Address: 10833 LE CONTE AVE
    CHS 10 -165
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 825-5634

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NPI Details

REGENTS OF UNIVERSITY OF CALIFORNIA is an oral and maxillofacial radiology dentist in Los Angeles, CA. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. REGENTS OF UNIVERSITY OF CALIFORNIA NPI is 1356476865. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ucla Dental Radiology Practice.

The provider's business location address is:

10833 LE CONTE AVE
CHS 10 -165
LOS ANGELES, CA
ZIP 90095-668
Phone: (310) 825-5634
Fax: (310) 206-2748

The provider's authorized official is Stuart C White .
The authorized official title is Professor and has the following contact phone number (310) 825-5634.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0008XDentistOral and Maxillofacial RadiologyCALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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