Individual
CHRISTINE M COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
267 W HILLCREST DR, THOUSAND OAKS, CA 91360
(805) 497-1694
(805) 373-7493
Mailing address
267 W HILLCREST DR, THOUSAND OAKS, CA 91360-4211
(805) 497-1694
(805) 373-7493
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
40609
AZ
207N00000X
Dermatology Physician
Primary
A119802
CA
207ND0900X
Dermatopathology Physician
A119802
CA
207ND0900X
Dermatopathology Physician
MD444035
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354255
—
AZ
05
—
GK137Z
—
CA
01
—
P00623799
RAILROAD MEDICARE
AZ
01
—
P01125198
RAILROAD MEDICARE
CA
Enumeration date
05/07/2007
Last updated
05/29/2018
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