GAVIN KOLODGE

SAN DIEGO, CA
NPI1407210537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: CA  20A18281)
Enumeration Date2016-04-05
Last Update Date2026-01-12
Business Address
GAVIN KOLODGE
9095 RIO SAN DIEGO DR STE 450
SAN DIEGO, CA 92108-1726
Phone number: 619-853-8860
Mailing Address
GAVIN KOLODGE
9095 RIO SAN DIEGO DR STE 410
SAN DIEGO, CA 92108-1679
Phone number: 858-357-9450