IndividualActive
Tracy Carlis, PHD
NPI 1730225640 · Ph.D. Medical Genetics · Encino, CA
Provider details
- NPI number
- 1730225640
- Entity type
- Individual
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY16888 (CA)
Practice location
5000 Hayvenhurst Ave
Encino, CA 91436-1115
Phone: (818) 713-0508
Fax: (818) 703-8050
Mailing address
5000 Hayvenhurst Ave
Encino, CA 91436-1115
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.