Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A86223 | CA |
NPI | 1205866407 |
---|---|
Provider Name | Carin Van Zyl |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/09/2020 |