Craig A. Coletta, MD
Individual provider Active NPI Surgery Physician · Bellflower, CA
NPI 1184791014 · NPPES record last updated Sep 23, 2008
Key facts
- NPI
- 1184791014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- G83011 (CA)
- Practice address
- 9400 Rosecrans Ave
Bellflower, CA 90706-2246 - Phone
- (562) 461-3000
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83011 | CA | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G83011 | CA | Yes |
Addresses
Primary practice location
9400 Rosecrans Ave
Bellflower, CA 90706-2246
Mailing address
9400 Rosecrans Ave
Bellflower, CA 90706-2246
Phone (562) 461-3000
Other providers in Bellflower, CA
- Swayne Anthony Cofield
- Steven Wade Cohen
- Vivian Shantella Cole
- David M. Coleman
- Raylene F. Coleman
- Jaqueline Colindres Melgar
- Endica Collins
- Alexis Colon
- Community Dental Services
- Community Family Guidance Center
All providers in Bellflower, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.