Dr. Tracy Lynn Carlis
Medical Geneticist
5000 Hayvenhurst Ave
Encino
, California 91436-1115
Dr. Tracy Lynn Carlis
Medical Geneticist
5000 Hayvenhurst Ave
Encino
, California 91436-1115
(818) 703-8050
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Tracy Lynn Carlis
- 5000 Hayvenhurst Ave
- Encino, CA
- Zip : 91436-1115
- Fax : (818) 703-8050
- Phone : (818) 713-0508
Second Address
- Dr. Tracy Lynn Carlis
- 5000 Hayvenhurst Ave
- Encino, CA
- Zip : 91436-1115
- Fax : (818) 703-8050
- Phone : (818) 713-0508
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | PSY16888 | CA |
National Provider Identifier
| NPI | 1730225640 |
|---|---|
| Provider Name | Dr. Tracy Lynn Carlis |
| First Address | Encino, CA 91436-1115 |
| Second Address | Encino, CA 91436-1115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.