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Organization

COLLEEN COPELAN, M.D. INC

Active
Parent organization
COLLEEN COPELAN MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLLEEN COPELAN MD
Authorized official
COLLEEN COPELAN (CEO)
(805) 659-1333
Entity
Organization

Contact information

Practice address
970 SOUTH PETIT AVE., SUITE A, VENTURA, CA 93004
(805) 659-1333
(805) 659-1408
Mailing address
970 SOUTH PETIT AVE., SUITE A, VENTURA, CA 93004
(805) 659-1333
(805) 659-1408

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G22018
CA

Other

Enumeration date
03/06/2009
Last updated
08/24/2009
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