Healthcare Provider Details
I. General information
NPI: 1770531402
Provider Name (Legal Business Name): UC REGENTS UCLA DMPG PASADENA ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55 E CALIFORNIA BLVD #100
PASADENA CA
91105-3954
US
IV. Provider business mailing address
PO BOX 24DD5 WESTWOOD STATION
LOS ANGELES CA
90024
US
V. Phone/Fax
- Phone: 626-396-2999
- Fax:
- Phone: 310-301-8708
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
K
OYE
Title or Position: VICE CHAIR OF CLINICAL SERVICES
Credential: MD
Phone: 310-206-0644