Individual
MR. CARL ALFRED COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-3434
Mailing address
2410 CEDAR AVE, LONG BEACH, CA 90806-2909
(562) 533-1768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21324
CA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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