WARREN REGH C. GABRILLO III M.D. INC. NPI 1962622803

NPI Information

NPI: 1962622803
Provider Name: WARREN REGH C. GABRILLO III M.D. INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
631 N 13TH AVE
A
UPLAND, CA
ZIP 91786
Phone: (909) 982-2088
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WARREN REGH C. GABRILLO III M.D. INC. is a family medicine in Upland, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WARREN REGH C. GABRILLO III M.D. INC. NPI is 1962622803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

631 N 13TH AVE
A
UPLAND, CA
ZIP 91786-946
Phone: (909) 982-2088
Fax: (909) 982-2058

The provider's authorized official is Warren Regh Camotes Gabrillo .
The authorized official title is President and has the following contact phone number (909) 982-2088.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 2/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		A51794	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00A517940	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	G14231	MEDICARE UPIN	CALIFORNIA
3	A517941	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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