Organization
UC REGENTS UCLA DMPG DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K OYE MD (VICE CHAIR OF CLINICAL SERVICES)
(310) 206-0644
Entity
Organization
Contact information
Practice address
1131 WILSHIRE BLVD, UC REGENTS UCLA DMPG DERMATOLOGY SUITE 200, SANTA MONICA, CA 90401-2061
(310) 917-3376
Mailing address
PO BOX 24DD5 WESTWOOD STATION, LOS ANGELES, CA 90024
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W11919A
MEDICARE PROVIDER NUMBER
CA
Enumeration date
03/15/2006
Last updated
05/30/2024
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