Unknown Individual – Dentist, NPI 1972519908

Unknown Individual is a healthcare provider. based in Los angeles, California. specializing in Dentist. They hold a License No. 23937 (CA). The NPI Number for Unknown Individual is 1972519908

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972519908
Phone
(310) 825-8879
Address
10833 LE CONTE AVE
Deactivation Date
22 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
9032267091
Professional Enrollment ID
I20120228000662
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • UCLA School of Dentistry, 10833, Le Conte Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90095, United States

    A0-125 CHS

    LOS ANGELES, CA 900951668

    Phone: (310) 825-8879

    Fax: (310) 794-9723

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90095)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1972519908; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Dentist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Los Angeles, California for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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