Individual
PAUL CORIOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5116
(626) 397-2981
Mailing address
P.O. BOX 60259, LOS ANGELES, CA 90060-0259
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13933
—
CA
Enumeration date
05/17/2006
Last updated
04/09/2009
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