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Contact Information

COLTON VALLEY MEDICAL GROUP
502 W VALLEY BLVD
COLTON, CA92324
 Phone: 909-825-3202
 Fax: 909-825-9375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for COLTON VALLEY MEDICAL GROUP · (Female)

NPI # 1801991450
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A23744
  • CA Medicaid 00A237440
  • CA Medicaid GR0041960
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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