Provider Demographics
NPI:1366437659
Name:DANNY M COLTON
Entity type:Organization
Organization Name:DANNY M COLTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-810-0992
Mailing Address - Street 1:417 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE 527
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-5301
Mailing Address - Country:US
Mailing Address - Phone:760-810-0992
Mailing Address - Fax:760-810-0993
Practice Address - Street 1:417 W FOOTHILL BLVD
Practice Address - Street 2:SUITE 527
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-5301
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:2005-09-13
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74120208600000X, 208D00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH32785Medicare UPIN