Organization
PHYSICIANS AALLIANCE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CADRIN E. GILL M.D. (PRESIDENT/CEO)
(909) 932-1045
Entity
Organization
Contact information
Practice address
4150 E. CONCOURS ST., SUITE #100, ONTARIO, CA 91764-4989
(909) 932-1045
(909) 932-1065
Mailing address
P.O. BOX 2429, RANCHO CUCAMONGA, CA 91729
(909) 932-1045
(909) 932-1065
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
09/26/2011
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