Individual
DR. CHRISTOPHER KEVIN KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4180 LA JOLLA VILLAGE DR, SUITE 455, LA JOLLA, CA 92037
(858) 859-2563
(858) 999-3541
Mailing address
4180 LA JOLLA VILLAGE DR, SUITE 455, LA JOLLA, CA 92037
(858) 859-2563
(858) 999-3541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A100294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FD680A
PTAN
CA
Enumeration date
07/02/2007
Last updated
03/06/2024
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