1669671350

Everything you always wanted to know about DR. COLLINS DOUGLAS ROBERT M.D. but were afraid to ask.

DR. COLLINS DOUGLAS ROBERT M.D.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. COLLINS DOUGLAS ROBERT M.D.
Gender:
Male
Enumeration date:
2007-07-13
Last update date:
2016-04-06
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine CA G42307 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8188496777
Practice Location Address Telephone Number 8188496777
Mailing Address Fax Number 8188581138
Practice Location Address Fax Number 8188581139

Addresses

Type Address City State Postal Country
Mailing Address 5400 BALBOA BLVD STE. 331 ENCINO CA 91316 CA
Practice Location Address 5400 BALBOA BLVD STE. 331 ENCINO CA 91316 CA

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NPI Name Address State City
1326401985 EVEREST MEDICAL CENTER, INC.
Organization
5400 BALBOA BLVD STE 331 CA ENCINO

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