UCLA GRAD ENDO CLINIC
NPI 1063630267
Dentist - Endodontics in Los Angeles, CA

Q: What is Ucla Grad Endo Clinic's NPI number?

The NPI number for Ucla Grad Endo Clinic is 1063630267. It was assigned to this organization in the NPPES registry on April 23, 2007.

Q: What is Ucla Grad Endo Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since April 23, 2007

10833 LE CONTE AVE, SUITE 30-125 CHS, LOS ANGELES, CA 90095(310) 825-4348(310) 206-5030 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ucla Grad Endo Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UCLA GRAD ENDO CLINIC (NPI 1063630267) is a healthcare organization registered as an endodontics in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Mo Kwan Kang, Assoc. Professor, as its authorized official.

NPPES Registry Identity

NPI1063630267

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameUCLA GRAD ENDO CLINIC

Location Address10833 LE CONTE AVE, SUITE 30-125 CHSLos Angeles, CA 90095-1668

Mailing Address10833 Le Conte Ave., Chs 43-007Los Angeles, CA 90095-1668 · (310) 825-8048 · Fax (310) 206-5030

Phone(310) 825-4348

Fax(310) 206-5030

Organization SubpartNo

Authorized OfficialMo Kwan KangAssoc. Professor · (310) 825-8048

Enumeration DateApril 23, 2007

Last NPPES UpdateOctober 2, 2025

NPPES CertifiedOctober 2, 2025

✔ NPI 1063630267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · D51343

Definition

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.

10833 LE CONTE AVE, Los Angeles, CA 90095

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Other Identifiers 1

MedicaidG01005-01CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER A FULCHER M.D., PH.D.

Internal Medicine (Infectious Disease)

10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095

Los Angeles County (310) 825-7225

LEE HAROLD HILBORNE MD

Pathology (Anatomic Pathology & Clinical Pathology)

10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095

Los Angeles County (310) 794-8285

PETER TONTONOZ MD

Pathology (Anatomic Pathology)

10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095

Los Angeles County (310) 794-8285

HSIN Y LEE MD

Radiology (Diagnostic Radiology)

10833 LE CONTE AVE
LOS ANGELES, CA 90095

Los Angeles County (310) 825-4721

COLIN J. WELLS MD

Radiology (Diagnostic Radiology)

10833 LE CONTE AVE
LOS ANGELES, CA 90095

Los Angeles County (310) 301-6800

RODNEY L TEICHNER MD

Anesthesiology

10833 LE CONTE AVE
LOS ANGELES, CA 90095

Los Angeles County (310) 825-9111

DR. LLOYD EDWARD GREASER III M.D.

Radiology (Diagnostic Radiology)

10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095

Los Angeles County (310) 825-4321

BRANDON KEN ITAGAKI M.D.

Internal Medicine

10833 LE CONTE AVE
LOS ANGELES, CA 90095

Los Angeles County (310) 825-8307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ucla Grad Endo Clinic's NPI number?

The NPI number for Ucla Grad Endo Clinic is 1063630267. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Ucla Grad Endo Clinic located?

Ucla Grad Endo Clinic is located at 10833 Le Conte Ave Suite 30-125 Chs, Los Angeles, CA 90095. The listed phone number is (310) 825-4348.

What is Ucla Grad Endo Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Ucla Grad Endo Clinic was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.