Provider Demographics
NPI:1528591476
Name:HARPREET S. GILL DDS
Entity Type:Organization
Organization Name:HARPREET S. GILL DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-279-1172
Mailing Address - Street 1:360 W FOOTHILL PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8546
Mailing Address - Country:US
Mailing Address - Phone:951-279-1172
Mailing Address - Fax:
Practice Address - Street 1:360 W FOOTHILL PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-8546
Practice Address - Country:US
Practice Address - Phone:951-279-1172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARPREET S. GILL DDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34845305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1215168554OtherRASHID KAMDAR
CA1508020371OtherORI LEVY
CA1720165921OtherAIHAM MACHHADANI
CA1801125794OtherROBERT MINER