Healthcare Provider Details

I. General information

NPI: 1841157302
Provider Name (Legal Business Name): DEVIN OAKS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 S MORENO DR
BEVERLY HILLS CA
90212-3639
US

IV. Provider business mailing address

11020 EMELITA ST
NORTH HOLLYWOOD CA
91601-1305
US

V. Phone/Fax

Practice location:
  • Phone: 310-286-7446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: