| Colton Valley Medical Care Inc | |
|
502 W Valley Blvd Colton CA 92324-2249 | |
| (909) 825-3202 | |
| (909) 825-9375 |
| Full Name | Colton Valley Medical Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 502 W Valley Blvd, Colton, California |
| Authorized Official Name and Position | Harry Raymond Webb (MD/OWNER) |
| Authorized Official Contact | 9098253202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Valley Medical Care Inc 502 W Valley Blvd Colton CA 92324-2249 Ph: (909) 825-3202 | Colton Valley Medical Care Inc 502 W Valley Blvd Colton CA 92324-2249 Ph: (909) 825-3202 |
| NPI Number | 1962688127 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/17/2008 |
| Medicare PECOS PAC ID | 5799974796 |
|---|---|
| Medicare Enrollment ID | O20110106000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962688127 | NPI | - | NPPES |
| 00A237440 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A23744 (California) | Primary |
| Provider Name | Michael J Sachs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295839504 PECOS PAC ID: 5597950550 Enrollment ID: I20101116000786 |
| Provider Name | Paul Milciades Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902357734 PECOS PAC ID: 4688097280 Enrollment ID: I20200714002762 |
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