Healthcare Provider Details

I. General information

NPI: 1346684842
Provider Name (Legal Business Name): REGENTS OF THE UNIVERSITY OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 SKYPARK DR
TORRANCE CA
90505-4753
US

IV. Provider business mailing address

3701 SKYPARK DR STE. 200
TORRANCE CA
90505-4753
US

V. Phone/Fax

Practice location:
  • Phone: 310-378-7533
  • Fax: 310-791-0789
Mailing address:
  • Phone: 310-378-7533
  • Fax: 310-791-0789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT KEI OYE
Title or Position: VICE CHAIR OF CLINICAL SERVICES
Credential: M.D.
Phone: 310-206-0644