Van Dyke Degolia in Los Angeles - Child & Adolescent Psychiatry
Van Dyke Degolia - NPI 1902945942
Van Dyke Degolia is a Child & Adolescent Psychiatry in Los Angeles, California. Van Dyke Degolia practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Van Dyke Degolia is 1902945942. The last update date is 2007-07-08.
Van Dyke Degolia's current location address is 11980 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3108261915 and fax number 3108261975. The mailing address for Van Dyke Degolia is 11980 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Van Dyke Degolia |
|---|---|
| Address | 11980 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3108261915 |
| Fax Number | 3108261975 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902945942 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11980 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900495012 |
| Phone Number | 3108261915 |
| Fax Number | 3108261975 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | G50306 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the Van Dyke Degolia's unique identification number?
The Van Dyke Degolia has been assigned the NPI (National Provider Identifier) Number 1902945942 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Van Dyke Degolia?
The Van Dyke Degolia is situated at 11980 San Vicente Blvd, in the city of Los Angeles, state of CA, with the zip code 900495012.
What is Van Dyke Degolia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Van Dyke Degolia is Child & Adolescent Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0804X.
On what date did Van Dyke Degolia receive its 1902945942 assignment from the Centers for Medicare & Medicaid Services?
The Van Dyke Degolia was assigned its 1902945942 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Van Dyke Degolia most recently updated or refreshed?
The details pertaining to the Van Dyke Degolia, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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