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General NPI Number Information
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NPI Number | 1831460369
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Entity Type | Individual
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Provider Name | STEVEN NEIL KOLODNY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 1360 VIA CORONEL
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City | PALOS VERDES ESTATES
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State | CA
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Zip | 90274-1938
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Country | US
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Telephone | 310-704-7256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3463
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City | PALOS VERDES PENINSULA
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State | CA
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Zip | 90274-9463
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Country | US
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Telephone | 310-704-7256
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G18942
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License Number State | CA
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