Individual
COLIN A MCCANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 STEIN PLAZA, RM#1-340, LOS ANGELES, CA 90095-0001
(310) 825-5000
(310) 206-7826
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-5000
(310) 206-7826
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G75966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G759660
—
CA
Enumeration date
12/21/2005
Last updated
08/30/2011
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