# NANCY R. KOLLISCH, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588870802
- **Authorized official:** DR. NANCY RUTH KOLLISCH M.D. (PRESIDENT)
- **Authorized official phone:** (619) 296-9883

## Contact information

- **Practice address:** 8008 FROST ST, SUITE 445, SAN DIEGO, CA 92123-4205
- **Practice address phone:** (619) 296-9883
- **Practice address fax:** (619) 296-4930
- **Mailing address:** 8008 FROST ST, SUITE 445, SAN DIEGO, CA 92123-4205
- **Mailing address phone:** (619) 296-9883
- **Mailing address fax:** (619) 296-4930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G44466 | CA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020