MEDICARE: DR. ROBERT Y UYEDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G34366	CA

General Provider Information

NPI Number	:	1073557294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT Y UYEDA MD

Provider Business Mailing Address
First Line	:	1950 SAWTELLE BLVD
Second Line	:	#145
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-7014
Country	:	US
Telephone Number	:	310-271-2178
Fax Number	:	310-575-4250

Provider Business Practice Location Address
First Line	:	465 NORTH ROXBURY DRIVE
Second Line	:	#1012
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4213
Country	:	US
Telephone Number	:	310-271-2178
Fax Number	:	310-271-2169

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/23/2010

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