Healthcare Provider Details

I. General information

NPI: 1164306684
Provider Name (Legal Business Name): ALLIANCE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 LA COSTA CIR
UPLAND CA
91784-8047
US

IV. Provider business mailing address

1544 LA COSTA CIR
UPLAND CA
91784-8047
US

V. Phone/Fax

Practice location:
  • Phone: 909-260-6620
  • Fax: 800-853-8191
Mailing address:
  • Phone: 909-260-6620
  • Fax: 800-853-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROWENA ISRAEL ARGONZA
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 909-260-6620