| Regents Of The University Of Ucla Maxillofacial Prosthodontics | |
|
10833 Le Conte Ave Rm Ao-156a Chs Box 951668 Los Angeles CA 90095-3075 | |
| (310) 825-6510 | |
| (310) 206-4201 |
| Full Name | Regents Of The University Of Ucla Maxillofacial Prosthodontics |
|---|---|
| Speciality | Dentist |
| Location | 10833 Le Conte Ave Rm Ao-156a Chs, Los Angeles, California |
| Authorized Official Name and Position | Eric C Sung (DIRECTOR) |
| Authorized Official Contact | 3102066407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The University Of Ucla Maxillofacial Prosthodontics 10833 Le Conte Ave Rm Ao-156a Box 951668 Los Angeles CA 90095-3075 Ph: (310) 825-6510 | Regents Of The University Of Ucla Maxillofacial Prosthodontics 10833 Le Conte Ave Rm Ao-156a Chs Box 951668 Los Angeles CA 90095-3075 Ph: (310) 825-6510 |
| NPI Number | 1285771378 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 12/12/2014 |
| Medicare PECOS PAC ID | 1658696216 |
|---|---|
| Medicare Enrollment ID | O20150203000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285771378 | NPI | - | NPPES |
| G91297 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 38370 (California) | Primary |
| Provider Name | John E Beumer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184836702 PECOS PAC ID: 0244309474 Enrollment ID: I20080514000537 |
| Provider Name | Eric C Sung |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629161351 PECOS PAC ID: 2163747726 Enrollment ID: I20150305000367 |
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 |