Organization
UCLA GRAD ENDO CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MO KWAN KANG DDS (ASSOC. PROFESSOR)
(310) 825-8048
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, SUITE 30-125 CHS, LOS ANGELES, CA 90095-1668
(310) 825-4348
(310) 206-5030
Mailing address
10833 LE CONTE AVE., CHS 43-007, LOS ANGELES, CA 90095-1668
(310) 825-8048
(310) 206-5030
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D51343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G01005-01
—
CA
Enumeration date
04/23/2007
Last updated
10/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us