Provider Demographics
NPI:1265742308
Name:CADRIN GILL M D INC
Entity type:Organization
Organization Name:CADRIN GILL M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:CADRIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-231-5181
Mailing Address - Street 1:231 W VERNON AVE STE 101201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-2700
Mailing Address - Country:US
Mailing Address - Phone:323-231-5181
Mailing Address - Fax:323-231-7432
Practice Address - Street 1:231 W VERNON AVE STE 101201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2700
Practice Address - Country:US
Practice Address - Phone:323-231-5181
Practice Address - Fax:323-231-7432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty