UCLA FACULTY GROUP DENTAL PRACTICE (NPI# 1700978780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700978780 |
| Entity Type | Organization |
| Organization Name | UCLA FACULTY GROUP DENTAL PRACTICE |
| Practice Address |
100 Ucla Medical Plz Ste 350 Los Angeles CA 90095-0001 |
| Practice Telephone | 3107945750 |
| Practice Fax Number | 3102080786 |
| Mailing Telephone | 3107945750 |
| Mailing Fax Number | 3102080786 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROCHELLE BACHE (OFFICE MANAGER) |
| Authorized Official Telephone | 3107945750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
2024 | CA | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
2021 | CA | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2021 | CA | Dental Providers |
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
2029 | CA | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2026 | CA | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2023 | CA | Dental Providers |
| X | 124Q00000X | Dental Hygienist | 2021 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992163786 | Ucla Faculty Group Dental Practice | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-6999 | 2016-02-08 |
| Street Address |
100 UCLA MEDICAL PLZ STE 350 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992163786 | Ucla Faculty Group Dental Practice | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-6999 | 2016-02-08 |
| 1316109085 | Moustafa Hussein El-ghareeb | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2008-06-25 |
| 1043420037 | Eung-kwon Pae | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-22 |
| 1013126333 | Reuben Han-kyu Kim | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-22 |
| 1003024308 | William W Morgan | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-18 |
| 1427261502 | Edmond Raymond Hewlett | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-07 |
| 1952513053 | Vladimir W Spolsky | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-03 |
| 1225250301 | Lillian Cheng | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-02 |
| 1003038142 | Clarice Law Eyre | Dentist | 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095-0001 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1295291276 | Kevin B. Seto, D.d.s, M.s., P.C. | Dentist | 8930 S Sepulveda Blvd Ste 101, Los Angeles, CA 90045-3606 | 2019-02-14 |
| 1063978252 | Chang Kattar Dental Corporation | Dentist | 8540 S Sepulveda Blvd Ste 1210, Los Angeles, CA 90045-3819 | 2019-02-13 |
| 1407334683 | Jose Ignacio Perea | Dentist | 12300 Wilshire Blvd Ste 404, Los Angeles, CA 90025-1061 | 2018-07-31 |
| 1336675354 | Berlin and Levitt Dental Partnership | Dentist | 1050 S Grand Ave, Suite 2, Los Angeles, CA 90015-4284 | 2017-05-11 |
| 1851832703 | Ana Paola Meneses Zambrano | Dentist | 11905 S Central Ave Ste 203, Los Angeles, CA 90059-2897 | 2017-03-12 |
| 1629407135 | Hiri Etessami | Dentist | 9201 W Sunset Blvd Ste 908, Los Angeles, CA 90069-3710 | 2013-11-05 |
| 1750646261 | Reuben Johnson | Dentist | 5127 Parkglen Ave, Los Angeles, CA 90043-1033 | 2012-07-10 |
| 1932499100 | Roberto Roges | Dentist | 8540 S Sepulveda Blvd Ste 1117, Los Angeles, CA 90045-3819 | 2011-04-08 |
| 1063725638 | Pejman Parsa | Dentist | 10921 Wilshire Blvd Ste 1203, Los Angeles, CA 90024-4005 | 2010-07-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.