Search › California › 106H00000X
Katie Van Dyke
NPI 1205261187 · on the registry since 2013 · sole proprietor
Practice
- Address
- 18646 Oxnard St
Tarzana, CA 91356 - Phone
- (323) 828-1887
- Organisation at this address
- Tarzana Treatment Center
Tarzana Treatment Center
Tarzana Treatment Center
Tarazana Treatment Center
Tarzana Treatment Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 612
Additional practice sites
- 9808 Venice Blvd, Culver City, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California