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R ROBERT WYCOFF MD INC NPI 1972607091


NPI Information

NPI: 1972607091
Provider Name: R ROBERT WYCOFF MD INC

Doing Business As: OAK TREE RADIOLOGY MEDICAL CORP

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
751 CORDOVA ST
STE 1
PASADENA, CA
ZIP 91101
Phone: (626) 577-2424
Get Directions

R ROBERT WYCOFF MD INC is a diagnostic radiology radiology in Pasadena, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. R ROBERT WYCOFF MD INC NPI is 1972607091. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oak Tree Radiology Medical Corp.

The provider's business location address is:

751 CORDOVA ST
STE 1
PASADENA, CA
ZIP 91101-617
Phone: (626) 577-2424
Fax: (626) 577-2995

The provider's authorized official is Robert Edmund Wycoff .
The authorized official title is Administrator and has the following contact phone number (626) 577-2525.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 8/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyCALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A39894MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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