Individual
DR. VAN DYKE DEGOLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 902, LOS ANGELES, CA 90049-5012
(310) 826-1915
(310) 826-1975
Mailing address
11980 SAN VICENTE BLVD, SUITE 902, LOS ANGELES, CA 90049-5012
(310) 826-1915
(310) 826-1975
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G50306
CA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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