Individual
DR. JOHN JOSEPH VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
959 E WALNUT ST, SUITE 120, PASADENA, CA 91106-1451
(626) 795-5118
(626) 795-2716
Mailing address
959 E WALNUT ST, SUITE 120, PASADENA, CA 91106-1451
(626) 795-5118
(626) 795-2716
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A20717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A207170
—
CA
Enumeration date
03/01/2006
Last updated
07/03/2012
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