Individual
KEVIN WILLIAM COLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST STE 2000, LOS ANGELES, CA 90033-5322
(248) 721-3740
Mailing address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5860
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A163681
CA
Other
Enumeration date
03/16/2018
Last updated
11/05/2025
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