Individual
TALIA KOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4036 WHITTIER BLVD, SUITE 202, LOS ANGELES, CA 90023-2560
(323) 262-3333
(323) 262-3333
Mailing address
10842 PORTOFINO PL, LOS ANGELES, CA 90077-2301
(323) 262-3333
(323) 262-3528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G64713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G647131
—
CA
Enumeration date
10/04/2006
Last updated
07/09/2007
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