Organization · Type 2 NPI

The Regents of the University of California

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1689692303 Active

Practice location

10833 Le Conte Ave # A0-156C
Los Angeles, CA 90095-3075

Call (310) 825-0834 Map

Fax (310) 794-2198

Mailing address

10833 Le Conte Ave, 200 Medical Plaza, Suite 460
Los Angeles, CA 90095-1668

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	24545 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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NPI record

NPI: 1689692303
Entity type: Organization (Type 2)
Issued: Jul 18, 2006
Last updated: Oct 2, 2025
Status: Active
Subpart: Yes of Faculty Group Dental Practice at Ucla

Other names

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Ucla Dental Oral Surgery Associates · doing business as

Authorized official

Dr. Wayne Ozaki, DDS
CLM Professor
(310) 825-3442

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689692303

The Regents of the University of California's National Provider Identifier is 1689692303, issued on Jul 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 2, 2025.