Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colonial Corner Medical Group, Inc

Organization Specialist · NPI 1669596557

Colonial Corner Medical Group, Inc provides Specialist services in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4440 Euclid Ave # C
San Diego, CA 92115-4522
Phone: (619) 582-5105
Fax: (619) 582-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G86752 (CA)

Record details

NPI number1669596557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth David — Finance Manager · (619) 582-5105
Other names Colonial Corner Medical Group, Inc.; Colonial Corner Medical Group, Inc.
NPI enumeratedMarch 18, 2007
Last updated in NPPESJuly 21, 2022
Mailing address4440 Euclid Ave # C, San Diego, CA 92115-4522

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