Shanthi M Colaco (NPI# 1144482167, PAC ID# 1355510710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144482167 |
| PAC ID by PECOS | 1355510710 |
| Professional Enrollment ID | I20130115000302 |
| Full Name | Shanthi M Colaco |
| Address |
2990 S Sepulveda Blvd Suite 300 Los Angeles CA 90064-3996 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2990 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90064-3996 |
| Street Address |
2990 S SEPULVEDA BLVD SUITE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90064-3996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Renee Edmonds | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 2990 S Sepulveda Blvd, Suite 201, Los Angeles, CA 90064-3973 |
| Kristen C Miller | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 2990 S Sepulveda Blvd, Suite 201, Los Angeles, CA 90064-3973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn Peter Fischel | Chiropractic | 11545 W Olympic Blvd, A, Los Angeles, CA 90064-1508 | |
| Joel Jaffe | General Practice | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
| Larry S Brandis | Internal Medicine | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
| Elizabeth Farr | Psychologist, Clinical | 11500 W Olympic Blvd, Suite 400, Los Angeles, CA 90064-1525 | |
| Trevin Thurman | Physical Medicine and Rehabilitation | 11500 W Olympic Blvd, Suite 640, Los Angeles, CA 90064-1525 | |
| Andrew P Pritikin | Physical Therapy | 11500 W Olympic Blvd, Suite 506, Los Angeles, CA 90064-1527 | |
| Nathaniel Elkins | Chiropractic | 11500 W Olympic Blvd, Suite 364, Los Angeles, CA 90064-1528 | |
| Asif W Rafi | Allergy/immunology | 11500 W Olympic Blvd, Los Angeles, CA 90064-1530 | |
| Tanya L Balakrishnan | Physical Therapy | Momentum Physical Therapy | 11500 W Olympic Blvd, Suite 470, Los Angeles, CA 90064-1530 |
| Kelly Masuda | Physical Therapy | Momentum Physical Therapy | 11500 W Olympic Blvd, Suite 470, Los Angeles, CA 90064-1530 |
| Find all physicians in zip 90064 | |||
| City | LOS ANGELES |
| Zip Code | 90064 |
| Specialty | DERMATOLOGY |
| City + Specialty | LOS ANGELES + DERMATOLOGY |
Please comment or provide details below to improve the information on Shanthi M Colaco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.