Individual
DR. DOMENIC COLABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
922 E COLORADO ST, GLENDALE, CA 91205-1224
(818) 246-5999
(818) 240-5757
Mailing address
922 E COLORADO ST, GLENDALE, CA 91205-1224
(818) 246-5999
(818) 240-5757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-8443T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT-08443T
OPTOMETRY LIC NO
CA
Enumeration date
02/15/2007
Last updated
12/09/2013
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