| Doctor Name: | DR. MONA MARCELLA COLIANNO |
| NPI Number: | 1124292701 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A9720 |
| Business Practice Address: | 1st Mlg Clr 1 Camp Pendleton, CA - 92055 |
| Business Phone Number: | 7607251457 |
| Business Fax Number: | |
| Mailing Address: | 1st Mlg Clr 1, CAMP PENDLETON |
| State: | CA |
| Postal Code: | 92055 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 04/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A9720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |