Provider Demographics
NPI:1871888917
Name:VAN ECK, CAROLA F (MD, PHD, FAAOS)
Entity type:Individual
Prefix:DR
First Name:CAROLA
Middle Name:F
Last Name:VAN ECK
Suffix:
Gender:F
Credentials:MD, PHD, FAAOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W SUNNYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-7287
Mailing Address - Country:US
Mailing Address - Phone:559-731-2009
Mailing Address - Fax:866-833-7251
Practice Address - Street 1:2300 W SUNNYSIDE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-7287
Practice Address - Country:US
Practice Address - Phone:559-731-2009
Practice Address - Fax:866-833-7251
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 141544207XX0005X
PAMD461975207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine