Individual
AUSTIN CHARLES COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14248 HAWTHORNE BLVD, HAWTHORNE, CA 90250-7008
(501) 247-4888
Mailing address
617 N DOHENY DR, BEVERLY HILLS, CA 90210-3526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108679
CA
122300000X
Dentist
DEN.00203202
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497280358
—
CO
Enumeration date
04/27/2017
Last updated
05/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us