# GEORGE T. COLOSIMO, M.D. A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1952549040
- **Authorized official:** DR. GEORGE T COLOSIMO M.D. (OWNER)
- **Authorized official phone:** (310) 837-5155

## Contact information

- **Practice address:** 3831 HUGHES AVE, SUITE 608, CULVER CITY, CA 90232-2751
- **Practice address phone:** (310) 837-5155
- **Practice address fax:** (310) 837-5274
- **Mailing address:** 3831 HUGHES AVE, SUITE 608, CULVER CITY, CA 90232-2751
- **Mailing address phone:** (310) 837-5155
- **Mailing address fax:** (310) 837-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A48286 | CA | Yes |

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 01/27/2009