| George T. Colosimo, M.d. A Professional Corporation | |
|
3831 Hughes Ave Suite 608 Culver City CA 90232-2751 | |
| (310) 837-5155 | |
| (310) 837-5274 |
| Full Name | George T. Colosimo, M.d. A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 3831 Hughes Ave, Culver City, California |
| Authorized Official Name and Position | George T Colosimo (OWNER) |
| Authorized Official Contact | 3108375155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George T. Colosimo, M.d. A Professional Corporation 3831 Hughes Ave Suite 608 Culver City CA 90232-2751 Ph: (310) 837-5155 | George T. Colosimo, M.d. A Professional Corporation 3831 Hughes Ave Suite 608 Culver City CA 90232-2751 Ph: (310) 837-5155 |
| NPI Number | 1952549040 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952549040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A48286 (California) | Primary |
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