Provider Demographics
NPI:1023577160
Name:KOLO, CATHERINE TERESSA (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:TERESSA
Last Name:KOLO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4201 TORRANCE BLVD STE 660
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4522
Mailing Address - Country:US
Mailing Address - Phone:310-373-4303
Mailing Address - Fax:310-375-1935
Practice Address - Street 1:4201 TORRANCE BLVD STE 660
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4522
Practice Address - Country:US
Practice Address - Phone:310-373-4303
Practice Address - Fax:310-375-1935
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2025-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA178089208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics