Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Ruth Vandiver

Individual provider Dermatology Physician · NPI 1740716190

Amy Ruth Vandiver is a Dermatology Physician in Los Angeles, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

200 UCLA Medical Plz Ste 450
Los Angeles, CA 90095-1233
Phone: (310) 825-6911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404-2131 — (310) 917-3376
  • 2001 Santa Monica Blvd Ste 1070, Santa Monica, CA 90404-2202 — (310) 301-8707

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A158695 (CA)

Record details

NPI number1740716190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2017
Last updated in NPPESOctober 2, 2023
Certification dateOctober 10, 2022

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