# PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225127566
- **Authorized official:** RAMPRASAD C DANDILLAYA MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 652-2562

## Contact information

- **Practice address:** 150 N ROBERTSON BLVD, SUITE 300, BEVERLY HILLS, CA 90211-2142
- **Practice address phone:** (310) 652-2562
- **Practice address fax:** (310) 967-3698
- **Mailing address:** 150 N ROBERTSON BLVD STE 300, BEVERLY HILLS, CA 90211-2145
- **Mailing address phone:** (310) 652-2562
- **Mailing address fax:** (310) 967-3698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 03/10/2025