| The Regents Of The University Of California | |
|
10833 Le Conte Ave # A0-156c Los Angeles CA 90095-3075 | |
| (310) 825-0834 | |
| (310) 794-2198 |
| Full Name | The Regents Of The University Of California |
|---|---|
| Speciality | Dentist |
| Location | 10833 Le Conte Ave # A0-156c, Los Angeles, California |
| Authorized Official Name and Position | Wayne Ozaki (CLM PROFESSOR) |
| Authorized Official Contact | 3108253442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regents Of The University Of California 10833 Le Conte Ave 200 Medical Plaza, Suite 460 Los Angeles CA 90095-1668 Ph: (310) 825-3442 | The Regents Of The University Of California 10833 Le Conte Ave # A0-156c Los Angeles CA 90095-3075 Ph: (310) 825-0834 |
| NPI Number | 1689692303 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 10/02/2025 |
| Medicare PECOS PAC ID | 8820268063 |
|---|---|
| Medicare Enrollment ID | O20110826000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689692303 | NPI | - | NPPES |
| G9195801 | Other | CA | DENTI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 24545 (California) | Primary |
| Provider Name | Earl G Freymiller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1154536845 PECOS PAC ID: 7911971817 Enrollment ID: I20040825001201 |
| Provider Name | Alan L Felsenfeld |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1407972433 PECOS PAC ID: 7315131083 Enrollment ID: I20101027000742 |
| Provider Name | Harry C Schwartz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851462832 PECOS PAC ID: 1153510581 Enrollment ID: I20110114000876 |
| Provider Name | Wayne Hideo Ozaki |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710019781 PECOS PAC ID: 1052340676 Enrollment ID: I20110330000816 |
| Provider Name | Nora Kahenasa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407931694 PECOS PAC ID: 7517137631 Enrollment ID: I20110829000602 |
| Provider Name | Vivek Shetty |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1851417737 PECOS PAC ID: 9638349269 Enrollment ID: I20110908002064 |
| Provider Name | Tara Lyn Aghaloo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1740464692 PECOS PAC ID: 1052583614 Enrollment ID: I20111004000681 |
| Provider Name | Apel Keuroghlian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841485620 PECOS PAC ID: 2567635758 Enrollment ID: I20111103000574 |
| Provider Name | Payam Afzali |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1326350851 PECOS PAC ID: 3779877592 Enrollment ID: I20200706000622 |
Consuelo M Nogoy Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
William Lewczuk D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 | |
Adriana R. Masi, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 S Robertson Blvd, Suite 2, Los Angeles, CA 90035 Phone: 310-550-5888 Fax: 310-550-5883 |