| Ucla Orofacial Pain | |
|
10833 Le Conte Ave Chs 10-157 Los Angeles CA 90095-3075 | |
| (310) 794-1929 | |
| (310) 206-5302 |
| Full Name | Ucla Orofacial Pain |
|---|---|
| Speciality | Dentist |
| Location | 10833 Le Conte Ave, Los Angeles, California |
| Authorized Official Name and Position | Robert L. Merrill (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3107941929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Orofacial Pain 10833 Le Conte Ave Chs 10-157 Los Angeles CA 90095-3075 Ph: (310) 794-1929 | Ucla Orofacial Pain 10833 Le Conte Ave Chs 10-157 Los Angeles CA 90095-3075 Ph: (310) 794-1929 |
| NPI Number | 1467467340 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 6901835438 |
|---|---|
| Medicare Enrollment ID | O20050804001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467467340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Sherwin Arman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821135138 PECOS PAC ID: 9537327507 Enrollment ID: I20120222000155 |
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