Provider Demographics
NPI:1518939263
Name:COLL, ANA CAROLINA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CAROLINA
Last Name:COLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5211 W GOSHEN AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8619
Mailing Address - Country:US
Mailing Address - Phone:559-732-5290
Mailing Address - Fax:559-732-5674
Practice Address - Street 1:400 W MINERAL KING AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6237
Practice Address - Country:US
Practice Address - Phone:800-717-5670
Practice Address - Fax:866-757-9283
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA69365208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology