Individual
DR. CALVIN COLARUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 PROSPECT ST, SUITE 415, LA JOLLA, CA 92037-0068
(858) 454-2473
(858) 454-4192
Mailing address
1020 PROSPECT ST, SUITE 415, LA JOLLA, CA 92037-0068
(858) 454-2473
(858) 454-4192
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C28845
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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