Elizabeth Allison Van Dyne M.D.

NPI 1235499161 - Pediatrics - 208000000X

NPI Details
NPI 1235499161
Gender Female
Enumeration Date 05/25/2012
Last Updated 05/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4700 W SUNSET BLVD
MODULE 4-B
LOS ANGELES CA, 90027-6082, US
Phone (800) 954-8000
Fax
Business Location
4700 W SUNSET BLVD
MODULE 4-B
LOS ANGELES CA, 90027-6082, US
Phone (800) 954-8000
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A119828
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According to our database, Elizabeth Allison Van Dyne M.D. NPI is 1235499161, taxonomy code is 208000000X and license number is A119828, license state is located at California. Elizabeth Allison Van Dyne M.D. physically located at 4700 W Sunset Blvd, Los Angeles CA, 90027-6082. NPI Number Elizabeth Allison Van Dyne M.D. has the Individual type.

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1235499161 NPI number is provided on an as is basis without warranty of any kind. 1235499161 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Allison Van Dyne M.D. are for informational purposes only.