Individual
COLBERT HAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(800) 465-3203
Mailing address
11100 WARNER AVE, FOUNTAIN VALLEY, CA 92708-7506
(714) 912-0047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025643
CA
363LA2100X
Acute Care Nurse Practitioner
95025643
CA
Other
Enumeration date
09/11/2023
Last updated
06/13/2025
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