Individual
COLLEEN COPELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 SOUTH PETIT AVE, STE A, VENTURA, CA 93004
(805) 659-1333
(805) 659-1408
Mailing address
3311 OLD CONEJO RD, NEWBURY PARK, CA 91320-2115
(805) 388-3337
(805) 388-1555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G22018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G22018
LICENSE
CA
Enumeration date
09/12/2006
Last updated
11/12/2021
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