| Colton Valley Medical Group | |
|
502 W Valley Blvd Colton CA 92324 | |
| (909) 825-3202 | |
| (909) 825-9375 |
| Full Name | Colton Valley Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 502 W Valley Blvd, Colton, California |
| Authorized Official Name and Position | Wagian Sun (PRESIDENT) |
| Authorized Official Contact | 9098253202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Valley Medical Group 502 W Valley Blvd Colton CA 92324 Ph: (909) 825-3202 | Colton Valley Medical Group 502 W Valley Blvd Colton CA 92324 Ph: (909) 825-3202 |
| NPI Number | 1801991450 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801991450 | NPI | - | NPPES |
| GR0041960 | Medicaid | CA | |
| 00A237440 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A23744 (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
John F. Randolph,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue, Colton, CA 92324 Phone: 909-580-1675 Fax: 909-580-1916 | |
Molina Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr Ste 106, Colton, CA 92324 Phone: 909-825-8373 Fax: 909-825-3276 | |
Colton Clinica Medica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S La Cadena Dr, Colton, CA 92324 Phone: 909-219-5093 Fax: 909-219-5260 | |
Lizarraga Medical Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 W Valley Blvd, Colton, CA 92324 Phone: 909-824-3389 | |
Mt. Vernon Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-422-8015 Fax: 909-422-0625 | |
Inland Empire Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E Washington St # 101, Colton, CA 92324 Phone: 800-418-0850 | |
Arrowhead Family Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6230 Fax: 909-580-6308 |