Collier, Avanta

Collier, Avanta is an individual health care provider with primary practice located at 12462 Putnam St Unit 501, Whittier CA 90602-1048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Collier, Avanta can be contacted via phone (562) 789-5429.

Contact Information

Primary practice address
12462 Putnam St Unit 501 Whittier CA 90602-1048
Phone: (562) 789-5429
Fax: (562) 789-4441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 62961 Georgia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X C131378 California

Profile Details

NPI number 1942356548
LBN Legal business name Collier, Avanta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942356548 NPPES
Georgia MEDICAID 003109710A

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