1053369793 NPI number — UC REGENTS UCLA DMPG MANHATTAN BEACH

Table of content: MR. THOMAS ALAN KENT MSW (NPI 1215064092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053369793 NPI number — UC REGENTS UCLA DMPG MANHATTAN BEACH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UC REGENTS UCLA DMPG MANHATTAN BEACH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053369793
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 24DD5
Provider Second Line Business Mailing Address:
WESTWOOD STATION
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-301-8708
Provider Business Mailing Address Fax Number:
310-301-8751

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2501 N SEPULVEDA BLVD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-796-4941
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OYE
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
K
Authorized Official Title or Position:
VICE CHAIR OF CLINICAL SERVICES
Authorized Official Telephone Number:
310-206-0644

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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