DR. VAN DYKE DEGOLIA M.D.
NPI 1902945942
Psychiatry & Neurology - Child & Adolescent Psychiatry in Los Angeles, CA

Active since February 06, 2007
11980 SAN VICENTE BLVD, SUITE 902, LOS ANGELES, CA 90049(310) 826-1915(310) 826-1975 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Van Dyke Degolia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VAN DYKE DEGOLIA M.D. (NPI 1902945942) is an individual child & adolescent psychiatry provider in Los Angeles, California, licensed in California (G50306) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1902945942
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. VAN DYKE DEGOLIACredential: M.D.
Location Address11980 SAN VICENTE BLVD, SUITE 902Los Angeles, CA 90049-5012
Mailing Address11980 San Vicente Blvd, Suite 902Los Angeles, CA 90049-5012 · (310) 826-1915 · Fax (310) 826-1975
Fax(310) 826-1975
Sole ProprietorYes
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902945942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CA · G50306
Definition
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.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Family Medicine
11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Dyke Degolia's NPI number?

The NPI number for Van Dyke Degolia is 1902945942. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Van Dyke Degolia located?

Van Dyke Degolia practices at 11980 San Vicente Blvd Suite 902, Los Angeles, CA 90049. The listed phone number is (310) 826-1915.

What is Van Dyke Degolia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Van Dyke Degolia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.