Provider Demographics
NPI:1881728384
Name:ROBERT STEPHEN DYE, M.D. APC
Entity type:Organization
Organization Name:ROBERT STEPHEN DYE, M.D. APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-865-8133
Mailing Address - Street 1:29525 CANWOOD ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4233
Mailing Address - Country:US
Mailing Address - Phone:818-865-8133
Mailing Address - Fax:818-865-1223
Practice Address - Street 1:29525 CANWOOD ST
Practice Address - Street 2:SUITE 219
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4233
Practice Address - Country:US
Practice Address - Phone:818-865-8133
Practice Address - Fax:818-865-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65562207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty