Individual
JUSTIN COLLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1656 N CALIFORNIA BLVD, SUITE 300, WALNUT CREEK, CA 94596-4180
(925) 937-5214
(925) 937-5936
Mailing address
PO BOX 9017, WALNUT CREEK, CA 94596-9001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A90070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A900700
—
CA
Enumeration date
02/13/2007
Last updated
12/15/2021
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