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

Dr. Van Dyke Degolia, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1902945942

Dr. Van Dyke Degolia, MD is a Child & Adolescent Psychiatry Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11980 San Vicente Blvd Ste 902
Los Angeles, CA 90049-5012
Phone: (310) 826-1915
Fax: (310) 826-1975
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence G50306 (CA)

Record details

NPI number1902945942
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 8, 2007

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