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UCLA MAXILLOFACIAL PROSTHETICS
NPI 1285771378
Dentist - Prosthodontics in Los Angeles, CA

Active since January 30, 2007
10833 LE CONTE AVE RM AO-156A CHS, BOX 951668, LOS ANGELES, CA 90095(310) 825-6510(310) 206-4201 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ucla Maxillofacial Prosthetics NPPES

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

UCLA MAXILLOFACIAL PROSTHETICS (NPI 1285771378) is a healthcare organization registered as a prosthodontics in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Eric C Sung, Director, as its authorized official.

NPPES Registry Identity

NPI1285771378
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameREGENTS OF THE UNIVERSITY OF UCLA MAXILLOFACIAL PROSTHODONTICS
Location Address10833 LE CONTE AVE RM AO-156A CHS, BOX 951668Los Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave Rm Ao-156a, Box 951668Los Angeles, CA 90095-3075 · (310) 825-6510 · Fax (310) 206-4201
Phone(310) 825-6510
Fax(310) 206-4201
Organization SubpartNo
Authorized OfficialEric C SungDirector · (310) 206-6407
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 12, 2014
✔ NPI 1285771378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 38370
Definition
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.
10833 LE CONTE AVE RM AO-156A CHS, Los Angeles, CA 90095
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Other Names 1

Doing Business AsUcla Maxillofacial Prosthetics

Other Identifiers 2

Medicare PINW2228CA
MedicaidG91297CA

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

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 Regents Of The University Of Ucla Maxillofacial Prosthodontics's NPI number?

The NPI number for Regents Of The University Of Ucla Maxillofacial Prosthodontics is 1285771378. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Ucla Maxillofacial Prosthetics.

Where is Regents Of The University Of Ucla Maxillofacial Prosthodontics located?

Regents Of The University Of Ucla Maxillofacial Prosthodontics is located at 10833 Le Conte Ave Rm Ao-156a Chs Box 951668, Los Angeles, CA 90095. The listed phone number is (310) 825-6510.

What is Regents Of The University Of Ucla Maxillofacial Prosthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Regents Of The University Of Ucla Maxillofacial Prosthodontics was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.