Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristoffer Ray Tierra Collera

Individual provider Independent Duty Corpsman · NPI 1174033351

Kristoffer Ray Tierra Collera is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000
Phone: (619) 532-7968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1174033351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESOctober 2, 2017

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