Individual
GRETHEL ALBA CABISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2440
(909) 580-2441
Mailing address
PO BOX 7, COLTON, CA 92324-0007
(909) 783-9111
(909) 783-9112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A35550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A355500
BLUE SHIELD
—
05
—
00A355500
—
CA
01
—
050091367
RAILROAD MEDICARE
—
Enumeration date
12/13/2005
Last updated
10/10/2014
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