# UC REGENTS UCLA DMPG BRENTWOOD

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

## Provider details

- **NPI number:** 1316905326
- **Authorized official:** DR. ROBERT K OYE MD (VICE CHAIR OF CLINICAL SERVICES)
- **Authorized official phone:** (310) 206-0644

## Contact information

- **Practice address:** 11980 SAN VICENTE BLVD, SUITE 102, LOS ANGELES, CA 90049-5012
- **Practice address phone:** (310) 208-7777
- **Mailing address:** PO BOX 24DD5, WESTWOOD STATION, LOS ANGELES, CA 90024-0001
- **Mailing address phone:** (310) 301-8708
- **Mailing address fax:** (310) 301-8751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 09/11/2025