NPIMap

Organization Active NPI

UCLA School of Dentistry

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1982738639
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D46182 Issued in CA
Legal business name
UCLA SCHOOL OF DENTISTRY
Practice address
10833 Le Conte Ave
#33-039 CHS
Los Angeles, CA 90095-1668
Phone
(310) 825-6672
Fax
(310) 794-7964
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Deukwon Jo, DDS
Title
Assoc. Clin Professor
Phone
(310) 825-5891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D46182 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
#33-039 CHS
Los Angeles, CA 90095-1668

Mailing address

10833 Le Conte Ave.
CHS A3-034
Los Angeles, CA 90095-1668
Phone (310) 825-5891

Other names 1

  • AEGD Other name

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of Ca56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

10833 Le Conte Ave
#33039
Los Angeles, CA 90095
Phone (310) 825-6672

10833 Le Conte Ave
#A3034
Los Angeles, CA 90095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1982738639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE.",
            "address_2": "CHS A3-034",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-5891",
            "fax_number": "310-794-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "#33-039 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-6672",
            "fax_number": "310-794-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA SCHOOL OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "DEUKWON",
        "authorized_official_title_or_position": "ASSOC. CLIN PROFESSOR",
        "authorized_official_telephone_number": "310-825-5891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D46182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AEGD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.