Ucla Grad Endo Clinic
LBN: Ucla Grad Endo Clinic
Ucla Grad Endo Clinic is an health care organization with primary practice located at 10833 Le Conte Ave Suite 30-125 Chs, Los Angeles CA 90095-1668. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty.
Ucla Grad Endo Clinic can be contacted via phone (310) 825-4348, or through Kang, Mo Kwan via phone (310) 825-4348.
Contact Information
Primary practice address
10833 Le Conte Ave Suite 30-125 Chs
Los Angeles CA 90095-1668
Phone: (310) 825-4348
Fax: (310) 206-5030
Website:
Authorized official contact:
Name: Kang, Mo Kwan Doctor of Dental Surgery (DDS)
Phone: (310) 825-4348
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D51343 | California |
Profile Details
| NPI number | 1063630267 |
|---|---|
| LBN Legal business name | Ucla Grad Endo Clinic |
| DBA Doing business as | |
| Authorized official | Kang, Mo Kwan Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063630267 | NPPES |
| California | MEDICAID | G01005-01 |
Popular Providers
-
Gary R. Massa Dds, Msd, Inc.
8930 S Sepulveda Blvd Suite 101, Los Angeles CA 90045-3606 -
Rambod R. Alirezaei
11633 San Vicente Blvd Ste 308 , Los Angeles CA 90049-6514 -
Bustamante Endodontics Adc
11645 Wilshire Blvd Suite 1160, Los Angeles CA 90025-6811 -
Bernice T. Ko, D.D.S., Inc.
11340 W Olympic Blvd #360, Los Angeles CA 90064-1608 -
Richard B Feinstein Dds A Professional Corp
8540 S Sepulveda Blvd Suite 1210, Los Angeles CA 90045 -
Ramin Khalili, Dds, Inc.
1330 Longworth Dr , Los Angeles CA 90049-3629 -
Ucla Faculty Group Dental Practice
100 Ucla Medical Plz Ste 350 , Los Angeles CA 90095-0001 -
Hiri Etessami Dds, Inc.
9201 Sunset Blvd Suite 908, Los Angeles CA 90069