Organization
COLLEEN LINDA COLEMAN, M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN LINDA COLEMAN M.D. (OWNER)
(949) 791-6767
Entity
Organization
Contact information
Practice address
510 SUPERIOR AVE, SUITE 200G, NEWPORT BEACH, CA 92663-3663
(949) 791-6767
Mailing address
510 SUPERIOR AVE, SUITE 200-G, NEWPORT BEACH, CA 92663-3663
(949) 791-6767
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G080909
CA
Other
Enumeration date
04/19/2007
Last updated
01/29/2013
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