Organization
ATALANTA C OLITO OSTEOPATHIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATALANTA C OLITO D.O. (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
8945 MAGNOLIA AVE, 200, RIVERSIDE, CA 92503-4436
(951) 688-7270
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6471
STATE LICENSE
CA
Enumeration date
01/27/2011
Last updated
01/27/2011
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