Ucla Hospital Dentistry

LBN: Ucla Hospital Dentistry
Ucla Hospital Dentistry is an health care organization with primary practice located at Ucla Hospital Dentistry 10833 Le Conte Ave. Chs Bldg Room A0-156B, Los Angeles CA 90095-0001. The organization recently has only one registered license in Hospitals / Special Hospital, which is considered as the primary health care specialty. Ucla Hospital Dentistry can be contacted via phone (310) 206-8775, or through Gonzalez, Rosa M. via phone (310) 206-6926.

Contact Information

Primary practice address
Ucla Hospital Dentistry 10833 Le Conte Ave. Chs Bldg Room A0-156B Los Angeles CA 90095-0001
Fax: (310) 206-4201
Website:
Authorized official contact:
Name: Gonzalez, Rosa M. MSO III

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X D19585 California

Profile Details

NPI number 1730363763
LBN Legal business name Ucla Hospital Dentistry
DBA Doing business as
Authorized official Gonzalez, Rosa M. MSO III
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730363763 NPPES
California MEDICAID G91297-01

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