Organization
INLAND EMPIRE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY PAUL GILBERT M.D. (CHIEF EXECUTIVE OFFICER)
(909) 890-2000
Entity
Organization
Contact information
Practice address
10801 6TH STREET, RANCHO CUCAMONGA, CA 91730
(909) 890-2000
(909) 890-2019
Mailing address
10801 6TH STREET, RANCHO CUCAMONGA, CA 91730
(909) 890-2000
(909) 890-2019
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
G55690
CA
Other
Enumeration date
09/26/2006
Last updated
10/17/2016
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