OrganizationActive
Uc Regents Ucla Dmpg Brentwood
NPI 1316905326 · Adolescent Medicine (Internal Medicine) Physician · Los Angeles, CA
Provider details
- NPI number
- 1316905326
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Oye, Vice Chair of Clinical Services(310) 206-0644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
11980 San Vicente Blvd
Suite 102
Los Angeles, CA 90049-5012
Phone: (310) 208-7777
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 24dd5
Los Angeles, CA 90024-0001
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.