# INLAND EMPIRE HEALTH PLAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225139546
- **Authorized official:** DR. BRADLEY PAUL GILBERT M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (909) 890-2000

## Contact information

- **Practice address:** 10801 6TH STREET, RANCHO CUCAMONGA, CA 91730
- **Practice address phone:** (909) 890-2000
- **Practice address fax:** (909) 890-2019
- **Mailing address:** 10801 6TH STREET, RANCHO CUCAMONGA, CA 91730
- **Mailing address phone:** (909) 890-2000
- **Mailing address fax:** (909) 890-2019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | G55690 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 10/17/2016