Search › California › 103TC0700X
Kelley Vandewalle
NPI 1942753181 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4411 Los Feliz Blvd Apt 1003
Los Angeles, CA 90027 - Phone
- (310) 467-1833
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-21
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