Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
UCLA VENICE CLINICAL
Active
Organization
UCLA VENICE CLINICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN YAMAMANTO D.D.S. (CLENAL DIRECTOR)
(310) 392-4103
Entity
Organization
Contact information
Practice address
323 LINCOLN BLVD, VENICE, CA 90291-2842
(310) 392-4103
(310) 392-8513
Mailing address
323 LINCOLN BLVD, VENICE, CA 90291-2842
(310) 392-4103
(310) 392-8513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D40407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UO1004
—
CA
Enumeration date
01/23/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up