Provider Demographics
NPI:1285957043
Name:HIGH DESERT BUSINESS ASSOCIATES INC
Entity type:Organization
Organization Name:HIGH DESERT BUSINESS ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-946-8870
Mailing Address - Street 1:17868 US HIGHWAY 18
Mailing Address - Street 2:#211
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1267
Mailing Address - Country:US
Mailing Address - Phone:760-946-8870
Mailing Address - Fax:760-946-8818
Practice Address - Street 1:17868 US HIGHWAY 18
Practice Address - Street 2:#211
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1267
Practice Address - Country:US
Practice Address - Phone:760-810-0992
Practice Address - Fax:760-810-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74120208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty