Individual
DR. SHIRLEY LYNNE VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
862 AEROVISTA PL STE 100, SAN LUIS OBISPO, CA 93401-8758
(805) 549-8023
(805) 549-8252
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G51607
CA
Other
Enumeration date
03/27/2007
Last updated
10/01/2025
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