Individual
DR. SHANTHI MARIE COLACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2990 S SEPULVEDA BLVD, SUITE 300, LOS ANGELES, CA 90064-0002
(323) 421-4747
(949) 955-7351
Mailing address
2990 S SEPULVEDA BLVD STE 300, LOS ANGELES, CA 90064-0002
(323) 421-4747
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A123314
CA
Other
Enumeration date
06/30/2008
Last updated
07/24/2024
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