Regents of University of California
NPI #1356476865 in Los Angeles, California
Provider Information
- NPI Number
- 1356476865
- Entity Type
- Organization
- Organization Name
- Regents of University of California
- Primary Specialty
- Dentist - Oral and Maxillofacial Radiology
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Oct 2, 2025
Practice Location
- Address
- 10833 LE CONTE AVE
- Address 2
- CHS 10 -165
- City
- Los Angeles
- State
- California
- ZIP Code
- 90095-1668
- Phone
- (310) 825-5634
Authorized Official
- Name
- DR. SANJAY MALLYA, DDS
- Title
- PROFESSOR
- Phone
- (310) 825-1689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Radiology — Oral and Maxillofacial Radiology |
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