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

Colonial Corner Medical Group, Inc

Organization Specialist · NPI 1669596557

Colonial Corner Medical Group, Inc is a Specialist 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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