Provider Demographics
NPI:1700879061
Name:COLLINS, RODNEY DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:DANIEL
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8484 WILSHIRE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3235
Mailing Address - Country:US
Mailing Address - Phone:310-360-7690
Mailing Address - Fax:310-360-7694
Practice Address - Street 1:8484 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3235
Practice Address - Country:US
Practice Address - Phone:310-360-7690
Practice Address - Fax:310-360-7694
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG607832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry