# CHAPARRAL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376506956
- **Authorized official:** MRS. ADRIENNE M WALKER (CONTRACTS ADMINISTRATOR)
- **Authorized official phone:** (909) 398-1550

## Contact information

- **Practice address:** 138 HARVARD AVE, CHAPARRAL MEDICAL GROUP, CLAREMONT, CA 91711-4716
- **Practice address phone:** (909) 624-4503
- **Practice address fax:** (909) 624-6364
- **Mailing address:** 840 TOWNE CENTER DR, ADMINISTRATIVE RESOURCES, POMONA, CA 91767-5900
- **Mailing address phone:** (909) 398-1550
- **Mailing address fax:** (909) 398-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 04/18/2022