# THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FACULTY GROUP DENTAL PRACTICE AT UCLA
- **Other names:** UCLA Dental Oral Surgery Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689692303
- **Legal business name:** FACULTY GROUP DENTAL PRACTICE AT UCLA
- **Authorized official:** DR. WAYNE OZAKI DDS (CLM PROFESSOR)
- **Authorized official phone:** (310) 825-3442

## Contact information

- **Practice address:** 10833 LE CONTE AVE \# A0-156C, LOS ANGELES, CA 90095-3075
- **Practice address phone:** (310) 825-0834
- **Practice address fax:** (310) 794-2198
- **Mailing address:** 10833 LE CONTE AVE, 200 MEDICAL PLAZA, SUITE 460, LOS ANGELES, CA 90095-1668
- **Mailing address phone:** (310) 825-3442
- **Mailing address fax:** (310) 794-7933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 24545 | CA | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 10/02/2025