Individual
DIVYA VATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MAIL STOP # 90, LOS ANGELES, CA 90027-6062
(323) 361-2178
(323) 361-1172
Mailing address
4650 W SUNSET BLVD, MAIL STOP # 90, LOS ANGELES, CA 90027-6062
(323) 361-2178
(323) 361-1172
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
A107303
CA
390200000X
Student in an Organized Health Care Education/Training Program
R8236
IA
Other
Enumeration date
09/05/2007
Last updated
12/08/2021
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