Individual
AMIRA COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 WESTWOOD PLZ, LOS ANGELES, CA 90024-5055
(310) 206-1548
Mailing address
760 WESTWOOD PLZ, LOS ANGELES, CA 90024-5055
(310) 206-1548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A191511
CA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
MD
Other
Enumeration date
12/04/2018
Last updated
07/08/2024
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