Organization
SCOTT COLOGNE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT COLOGNE MD (PRESIDENT)
(619) 258-6200
Entity
Organization
Contact information
Practice address
5050 MURPHY CANYON RD, SUITE 100, SAN DIEGO, CA 92123-4441
(858) 277-7353
Mailing address
PO BOX 23478, SAN DIEGO, CA 92193-3478
(619) 258-6200
(619) 258-0028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A117417
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
A117417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A117417
CA MEDICAL LICENSE
CA
Enumeration date
10/26/2011
Last updated
10/26/2011
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