Shelton Jim Colinco in Anaheim - Physician Assistant
Shelton Jim Colinco - NPI 1033240015
Shelton Jim Colinco is a Physician Assistant in Anaheim, California. Shelton Jim Colinco practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shelton Jim Colinco is 1033240015. The last update date is 2016-06-09.
Shelton Jim Colinco's current location address is 1801 W Romneya Dr, Anaheim, California. You can contact this provider via phone number 7149991465 and fax number 7149991701. The mailing address for Shelton Jim Colinco is 1801 W Romneya Dr, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelton Jim Colinco |
|---|---|
| Address | 1801 W Romneya Dr, Anaheim, California |
| Phone Number | 7149991465 |
| Fax Number | 7149991701 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033240015 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2016-06-09 |
Provider Mailing Address Detail
| Address | 1801 W Romneya Dr |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928011830 |
| Phone Number | 7149991465 |
| Fax Number | 7149991701 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14866 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA14866 | CA | PA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelton Jim Colinco by the Centers for Medicare & Medicaid Services?
The Shelton Jim Colinco has been assigned the NPI (National Provider Identifier) 1033240015 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shelton Jim Colinco?
The Shelton Jim Colinco is situated at 1801 W Romneya Dr, in the city of Anaheim, state of CA, with the zip code 928011830.
What is Shelton Jim Colinco's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shelton Jim Colinco is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033240015 to Shelton Jim Colinco?
The Centers for Medicare & Medicaid Services originally issued the 1033240015 to Shelton Jim Colinco on 2007-03-08.
When was the Shelton Jim Colinco's information last updated?
The Shelton Jim Colinco's information was last updated on 2016-06-09.