Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Uc Regents UCLA Dmpg Dermatology

Organization Dermatology Physician · NPI 1407825128

Uc Regents UCLA Dmpg Dermatology is a Dermatology Physician in Santa Monica, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1131 Wilshire Blvd Uc Regents UCLA Dmpg Dermatology Ste 200
Santa Monica, CA 90401-2061
Phone: (310) 917-3376
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X

Record details

NPI number1407825128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Oye — Vice Chair Of Clinical Services · (310) 206-0644
NPI enumeratedMarch 15, 2006
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressPo Box 24dd5 Westwood Station, Los Angeles, CA 90024

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