Individual
DR. DAVID VAN ZAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
6733 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-1525
(714) 437-7400
(714) 437-7410
Mailing address
6733 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-1584
(714) 437-7400
(714) 437-7410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY10747
STATE LICENSE
CA
Enumeration date
05/09/2006
Last updated
07/08/2007
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