Provider Demographics
NPI:1346684842
Name:REGENTS OF THE UNIVERSITY OF CALIFORNIA
Entity Type:Organization
Organization Name:REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other - Org Name:UCLA HEALTH, DMPG COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE CHAIR OF CLINICAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KEI
Authorized Official - Last Name:OYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-206-0644
Mailing Address - Street 1:3701 SKYPARK DR
Mailing Address - Street 2:STE. 200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4753
Mailing Address - Country:US
Mailing Address - Phone:310-378-7533
Mailing Address - Fax:310-791-0789
Practice Address - Street 1:3701 SKYPARK DR
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4753
Practice Address - Country:US
Practice Address - Phone:310-378-7533
Practice Address - Fax:310-791-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty