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Regents of the University of California — NPI 1740166628, Los Angeles, CA | NPI Central

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NPI 1740166628

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Regents of the University of California

NPI 1740166628 · Oral and Maxillofacial Pathology Dentistry · Los Angeles, CA

Provider details

NPI number: 1740166628
Entity type: Organization
Primary specialty: Oral and Maxillofacial Pathology DentistryDental Providers
Organization subpart: No
Authorized official: Katherine Hale, Financial Officer(310) 301-5311

Specialties & taxonomies

Oral and Maxillofacial Pathology DentistryPrimary1223P0106X
Dental Providers

Practice location

714 Tiverton Ave Rm 53-058

Los Angeles, CA 90095-8361

Phone: (310) 825-6848

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

5767 W Century Blvd Ste 400

Los Angeles, CA 90045-5631

Other names (DBA / former)

Doing business as: Ucla Integrated Provider Network

Registry dates

Enumerated: 2025-08-14
Last updated: 2025-10-13
Certified: 2025-10-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.