Degolia, Van Dyke
Degolia, Van Dyke is an sole proprietor health care provider with primary practice located at 11980 San Vicente Blvd Suite 902, Los Angeles CA 90049-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Degolia, Van Dyke can be contacted via phone (310) 826-1915.Contact Information
Primary practice address
11980 San Vicente Blvd Suite 902
Los Angeles CA 90049-5012
Phone: (310) 826-1915
Fax: (310) 826-1975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | G50306 | California |
Profile Details
| NPI number | 1902945942 |
|---|---|
| LBN Legal business name | Degolia, Van Dyke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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