Individual
COLETTE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19191 S VERMONT AVE, TORRANCE, CA 90502-1018
(510) 919-9641
Mailing address
PO BOX 641941, LOS ANGELES, CA 90064-6941
(510) 919-0641
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A65786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A657860
—
CA
Enumeration date
04/21/2006
Last updated
01/04/2022
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