UCLA PERIODONTAL CLINIC NPI 1376641720

NPI Information

  • NPI: 1376641720
  • Provider Name: UCLA PERIODONTAL CLINIC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: UCLA SCHOOL OF DENTISTRY
    CHS B0 130
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 825-3795

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NPI Details

UCLA PERIODONTAL CLINIC is a periodontics dentist in Los Angeles, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. UCLA PERIODONTAL CLINIC NPI is 1376641720. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

UCLA SCHOOL OF DENTISTRY
CHS B0 130
LOS ANGELES, CA
ZIP 90095-668
Phone: (310) 825-3795
Fax: (310) 825-9653

The provider's authorized official is Flavia Pirih .
The authorized official title is Chair and has the following contact phone number (310) 825-6486.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/10/2021.

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
11223P0300XDentistPeriodontics2059CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102059OTHERCALIFORNIADELTA DENTAL OF CA GROUP
2D34623OTHERCALIFORNIADENTICAL

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: 3/30/2025

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