Individual
DR. CLINTON GILBERT COLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10666 N TORREY PINES RD # 207W, LA JOLLA, CA 92037
(858) 824-5824
(858) 554-8492
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5824
(858) 554-8492
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A149930
CA
207RP1001X
Pulmonary Disease Physician
Primary
A149930
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A149930
CA
Other
Enumeration date
02/08/2011
Last updated
05/06/2019
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