Healthcare Provider Details

I. General information

NPI: 1467467340
Provider Name (Legal Business Name): REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10833 LE CONTE AVE CHS 10-157
LOS ANGELES CA
90095-3075
US

IV. Provider business mailing address

10833 LE CONTE AVE C145 A3-030
LOS ANGELES CA
90095-1668
US

V. Phone/Fax

Practice location:
  • Phone: 310-794-1929
  • Fax: 310-206-5302
Mailing address:
  • Phone: 310-825-2124
  • Fax: 310-206-5302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERWIN ARMAN
Title or Position: ASSOC PROFESSOR
Credential: DDS
Phone: 310-825-2124