Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 20A7423 | CA |
NPI | 1154362432 |
---|---|
Provider Name | Dr. Edward Christopher Kolpin |
First Address | Pacific Palisades, CA 90272-2018 |
Second Address | Pacific Palisades, CA 90272-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 28/07/2009 |