Provider Demographics
NPI:1497714885
Name:COLLIER, JOHN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LEE
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:7345 MEDICAL CENTER DR
Mailing Address - Street 2:# 500
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307
Mailing Address - Country:US
Mailing Address - Phone:818-348-6200
Mailing Address - Fax:818-348-0819
Practice Address - Street 1:7345 MEDICAL CENTER DR
Practice Address - Street 2:# 500
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307
Practice Address - Country:US
Practice Address - Phone:818-348-6200
Practice Address - Fax:818-348-0819
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA43682207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E72954Medicare UPIN
W10206Medicare ID - Type Unspecified
CAAX128YMedicare PIN