Van Zak, David
Van Zak, David is an individual health care provider with primary practice located at 6733 S Sepulveda Blvd , Los Angeles CA 90045-1525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Zak, David can be contacted via phone (714) 437-7400.Contact Information
Primary practice address
6733 S Sepulveda Blvd
Los Angeles CA 90045-1525
Phone: (714) 437-7400
Fax: (714) 437-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY10747 | California |
Profile Details
| NPI number | 1174572960 |
|---|---|
| LBN Legal business name | Van Zak, David |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174572960 | NPPES |
| California | Other | PSY10747 | STATE LICENSE |
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