Individual
COLIN BACORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 THIRD AVE, CHULA VISTA, CA 91911-1352
(619) 425-7755
Mailing address
835 THIRD AVE, CHULA VISTA, CA 91911-1352
(619) 425-7755
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A159867
CA
Other
Enumeration date
03/20/2017
Last updated
09/12/2025
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