Individual
IRENE C COLETSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5333 MISSION CENTER RD STE 105, SAN DIEGO, CA 92108-1347
(619) 997-4510
(619) 984-5440
Mailing address
5333 MISSION CENTER RD STE 105, SAN DIEGO, CA 92108-1347
(619) 997-4510
(619) 984-5440
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
256535
MA
2084P0800X
Psychiatry Physician
Primary
C196263
CA
Other
Enumeration date
08/07/2007
Last updated
07/02/2024
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