Organization
BRUCE A. HAYTON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ANTHONY HAYTON M.D. (PRESIDENT)
(951) 698-7514
Entity
Organization
Contact information
Practice address
36450 INLAND VALLEY DR, SUITE 101, WILDOMAR, CA 92595-9583
(951) 698-7514
(951) 698-8740
Mailing address
36450 INLAND VALLEY DR, SUITE 101, WILDOMAR, CA 92595-9583
(951) 698-7514
(951) 698-8740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G55511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G555110
—
CA
Enumeration date
05/15/2007
Last updated
08/29/2012
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