Provider Demographics
NPI:1346265790
Name:COLLINS, CATHERINE LEONIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LEONIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 416
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1522
Mailing Address - Country:US
Mailing Address - Phone:415-387-8800
Mailing Address - Fax:415-387-5204
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 416
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:415-387-8800
Practice Address - Fax:415-387-5204
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65417207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG99151Medicare UPIN
CA00A654170Medicare ID - Type Unspecified