Organization · Type 2 NPI

The Regents of the University of California

Pediatric Dentistry · Los Angeles, CA

NPI number 1700978780 Active

Practice location

100 Ucla Medical Plaza Ste 350
Los Angeles, CA 90024

Fax (310) 208-0786

Mailing address

10833 Le Conte Ave
Los Angeles, CA 90095-1668

Specialties and licenses

TaxonomyCodeLicense
Endodontics 1223E0200X2024 (CA)
General Practice Dentistry 1223G0001X2021 (CA)
Pediatric Dentistry Primary 1223P0221X2021 (CA)
Prosthodontics 1223P0700X2029 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2026 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X2023 (CA)
Dental Hygienist 124Q00000X2021 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1700978780

The Regents of the University of California's National Provider Identifier is 1700978780, issued on Sep 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 1, 2025.