| Ucla Dental Oral Surgery Associates | |
|
10833 Le Conte Ave # A0-156c Los Angeles CA 90095-3075 | |
| (310) 825-0834 | |
| (310) 794-2198 |
| Full Name | Ucla Dental Oral Surgery Associates |
|---|---|
| Speciality | Dentist |
| Location | 10833 Le Conte Ave # A0-156c, Los Angeles, California |
| Authorized Official Name and Position | A L Felsenfeld (CLINIC DIRECTOR) |
| Authorized Official Contact | 3108250834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Dental Oral Surgery Associates 10833 Le Conte Ave A0-156 Los Angeles CA 90095-3075 Ph: (310) 825-0834 | Ucla Dental Oral Surgery Associates 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 | 01/23/2024 |
| 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 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 H 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 L 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 |
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