OrganizationActive
Ucla Grad Endo Clinic
NPI 1063630267 · Endodontics · Los Angeles, CA
Ucla Grad Endo Clinic is a Endodontics organization in Los Angeles, CA (NPI 1063630267).
Provider details
- NPI number
- 1063630267
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mo Kang, Assoc. Professor(310) 825-8048
- License
- D51343 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10833 Le Conte Ave
Suite 30-125 Chs
Los Angeles, CA 90095-1668
Phone: (310) 825-4348
Fax: (310) 206-5030
Street-level locationGet directions
Mailing address
10833 Le Conte Ave.
Los Angeles, CA 90095-1668
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Ucla Grad Endo Clinic's NPI number?
- Ucla Grad Endo Clinic's National Provider Identifier (NPI) is 1063630267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ucla Grad Endo Clinic?
- Ucla Grad Endo Clinic is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Ucla Grad Endo Clinic located?
- Ucla Grad Endo Clinic's practice location on file with NPPES is 10833 Le Conte Ave, Los Angeles, CA 90095-1668.
- What is Ucla Grad Endo Clinic's phone number?
- The practice phone number listed in the NPPES registry for Ucla Grad Endo Clinic is (310) 825-4348.
- Who is the authorized official for Ucla Grad Endo Clinic?
- The authorized official listed on Ucla Grad Endo Clinic's NPPES record is Mo Kang, Assoc. Professor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ucla Grad Endo Clinic's NPI active?
- Yes — Ucla Grad Endo Clinic's NPI (1063630267) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.