Individual
DR. ELLIOT KOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10842 PORTOFINO PL, LOS ANGELES, CA 90077-2301
(310) 440-0294
Mailing address
10842 PORTOFINO PL, LOS ANGELES, CA 90077-2301
(310) 440-0294
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G060634
CA
Other
Enumeration date
11/07/2015
Last updated
10/27/2021
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