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Individual

DR. BRIAN RAYE COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 N STATE ST, IRD 620, LOS ANGELES, CA 90033-1029
(323) 226-7556
Mailing address
333 S CATALINA ST, APT 429, LOS ANGELES, CA 90020-2028
(541) 264-9150

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A107833
CA

Other

Enumeration date
05/28/2009
Last updated
05/28/2009
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