Provider Demographics
NPI:1548507387
Name:JOHN G. COLIAS, M.D., INC.
Entity type:Organization
Organization Name:JOHN G. COLIAS, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:COLIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-357-6363
Mailing Address - Street 1:51 N 5TH AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3710
Mailing Address - Country:US
Mailing Address - Phone:626-357-6363
Mailing Address - Fax:
Practice Address - Street 1:51 N 5TH AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3710
Practice Address - Country:US
Practice Address - Phone:626-357-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC33575207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty