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

UCLA Grad Endo Clinic

Organization Endodontics · NPI 1063630267

UCLA Grad Endo Clinic is an Endodontics 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 Ste 30-125 Chs
Los Angeles, CA 90095-1668
Phone: (310) 825-4348
Fax: (310) 206-5030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D51343 (CA)

Record details

NPI number1063630267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mo Kang — Assoc. Professor · (310) 825-8048
NPI enumeratedApril 23, 2007
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address10833 Le Conte Ave., Chs 43-007, Los Angeles, CA 90095-1668

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