Dr. Van Dyke Degolia is a Los Angeles, California based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Van Dyke Degolia is G50306 for Child & Adolescent in California. His current practice location is 11980 San Vicente Blvd, Suite 902, Los Angeles. Patients can reach him at 310-826-1915 or can fax him at 310-826-1975. Dr. Van Dyke Degolia is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1902945942. Dr. Van Dyke Degolia has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Van Dyke Degolia speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Van Dyke Degolia
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
M.D.
Practice Address:
11980 San Vicente Blvd, Suite 902, Los Angeles, California, 90049-5012
Phone:
310-826-1915
Fax:
310-826-1975
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902945942
NPI Enumeration Date:
06 Feb, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Van Dyke Degolia are as mentioned below.
License Number
Specialization
State
Status
G50306
Child & Adolescent
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Van Dyke Degolia 11980 San Vicente Blvd, Suite 902 Los Angeles, California
Zip:
90049-5012
Phone Number:
310-826-1915
Fax Number:
310-826-1975
Patients can reach Dr. Van Dyke Degolia at 11980 San Vicente Blvd, Suite 902, Los Angeles, California or can call to book an appointment on 310-826-1915.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.