| Colleen Copelan, M.d. Inc | |
|
970 South Petit Ave. Suite A Ventura CA 93004 | |
| (805) 659-1333 | |
| (805) 659-1408 |
| Full Name | Colleen Copelan, M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 970 South Petit Ave., Ventura, California |
| Authorized Official Name and Position | Colleen Copelan (CEO) |
| Authorized Official Contact | 8056591333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Copelan, M.d. Inc 970 South Petit Ave. Suite A Ventura CA 93004 Ph: (805) 659-1333 | Colleen Copelan, M.d. Inc 970 South Petit Ave. Suite A Ventura CA 93004 Ph: (805) 659-1333 |
| NPI Number | 1760623599 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 08/24/2009 |
| Medicare PECOS PAC ID | 7911051099 |
|---|---|
| Medicare Enrollment ID | O20090825000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760623599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G22018 (California) | Primary |
| Provider Name | Colleen Copelan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588768196 PECOS PAC ID: 8022162718 Enrollment ID: I20090814000232 |
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