Individual
COLLEEN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
29300 PORTOLA PKWY # A, LAKE FOREST, CA 92630-8718
(949) 716-2726
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1116
CA
Other
Enumeration date
08/31/2006
Last updated
11/06/2015
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