Provider Demographics
NPI:1295230415
Name:AITCHESON, GABRIELLA (MD)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:AITCHESON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 E CAROLINE ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3731
Mailing Address - Country:US
Mailing Address - Phone:909-558-3636
Mailing Address - Fax:
Practice Address - Street 1:197 E CAROLINE ST STE 1400
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3731
Practice Address - Country:US
Practice Address - Phone:909-558-3636
Practice Address - Fax:909-558-3754
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2025-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA195698207RG0100X
IN01085894A207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program