Individual
ELIZABETH ALLISON VAN DYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 W SUNSET BLVD, MODULE 4-B, LOS ANGELES, CA 90027-6082
(800) 954-8000
Mailing address
4700 W SUNSET BLVD, MODULE 4-B, LOS ANGELES, CA 90027-6082
(800) 954-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A119828
CA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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