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Organization
ROBERT A COLLEN M D MEDICAL CORPORATION
Active
Organization
ROBERT A COLLEN M D MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. COLLEN M.D. (CEO)
(714) 397-0768
Entity
Organization
Contact information
Practice address
10802 COLLEGE PL, CERRITOS, CA 90703-1505
(562) 904-3998
(562) 924-6523
Mailing address
10802 COLLEGE PL, CERRITOS, CA 90703-1505
(714) 397-0768
(714) 955-5394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G21229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538267125
TYPE 1 NPI
CA
Enumeration date
12/29/2010
Last updated
05/22/2015
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