Gabrillo, Warren Regh C.
Gabrillo, Warren Regh C. is an sole proprietor health care provider with primary practice located at 631 N 13Th Ave A, Upland CA 91786-4946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gabrillo, Warren Regh C. can be contacted via phone (909) 982-2088.Contact Information
Primary practice address
631 N 13Th Ave A
Upland CA 91786-4946
Phone: (909) 982-2088
Fax: (909) 982-2058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A51794 | California |
Profile Details
| NPI number | 1982689295 |
|---|---|
| LBN Legal business name | Gabrillo, Warren Regh C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Dec 10th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982689295 | NPPES |
| California | MEDICAID | A517941 |
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