DR. VAN DYKE DEGOLIA M.D. NPI 1902945942

NPI Information

NPI: 1902945942
Provider Name: DR. VAN DYKE DEGOLIA, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
11980 SAN VICENTE BLVD
SUITE 902
LOS ANGELES, CA
ZIP 90049
Phone: (310) 826-1915
Get Directions

DR. Van Dyke Degolia, M.D. is a child and adolescent psychiatry psychiatry neurology in Los Angeles, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Van Dyke Degolia, M.D. NPI is 1902945942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11980 SAN VICENTE BLVD
SUITE 902
LOS ANGELES, CA
ZIP 90049-012
Phone: (310) 826-1915
Fax: (310) 826-1975

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	G50306	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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