Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regents of the University of UCLA Maxillofacial Prosthodontics

Organization Prosthodontics · NPI 1285771378

Regents of the University of UCLA Maxillofacial Prosthodontics is a Prosthodontics in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

10833 Le Conte Ave Rm AO-156A Chs Box 951668
Los Angeles, CA 90095-3075
Phone: (310) 825-6510
Fax: (310) 206-4201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 38370 (CA)

Record details

NPI number1285771378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Sung — Director · (310) 206-6407
Other names Ucla Maxillofacial Prosthetics
NPI enumeratedJanuary 30, 2007
Last updated in NPPESDecember 12, 2014
Mailing address10833 Le Conte Ave Rm Ao-156a, Box 951668, Los Angeles, CA 90095-3075

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