NPI 1073789871

Physicians Aalliance Network

Organisation Exclusive Provider Organization Ontario, CA

Practice location

Address: 4150 E. Concours St. Suite #100, Ontario, CA 91764-4989
Phone: (909) 932-1045
Fax: (909) 932-1065
Mailing address: P.O. Box 2429, Rancho Cucamonga, CA 91729

Authorised official

Name: Cadrin E. Gill
Title: President/Ceo
Phone: (909) 932-1045

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1073789871
Entity type: Organization
NPI issued: 1 May 2008
Record last updated: 26 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.