Individual
JERRY KOLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 EAST VALLEY PARKWAY, ESCONDIDO, CA 92025
(760) 739-3030
(760) 739-2604
Mailing address
PO BOX 744127, DALLAS, TX 75374-4127
(760) 739-3039
(972) 498-9702
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
4301062799
MI
207ZB0001X
Blood Banking & Transfusion Medicine Physician
G34975
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301062799
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G34975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G349750
—
CA
Enumeration date
10/05/2006
Last updated
06/23/2008
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