Individual
SILVIA COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1700 CESAR CHAVEZ AVE STE 3300, LOS ANGELES, CA 90033
(323) 264-4114
(323) 264-4662
Mailing address
1021 SOUTH RESERVOIR ST, POMONA, CA 91766
(909) 623-3066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7572
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A7572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX75720
—
CA
Enumeration date
01/03/2007
Last updated
02/14/2013
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