Healthcare Provider Details

I. General information

NPI: 1588612485
Provider Name (Legal Business Name): UC REGENTS UCLA DMPG CENTER FOR EAST-WEST MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2428 SANTA MONICA BLVD SUITE 208
SANTA MONICA CA
90404-2045
US

IV. Provider business mailing address

PO BOX 24DD5 WESTWOOD STATION
LOS ANGELES CA
90024
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-9318
  • Fax:
Mailing address:
  • Phone: 310-301-8708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology 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