# CHAPARRAL MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1467903039
- **Authorized official:** ADRIENNE WALKER (CONTRACTS MANAGER)
- **Authorized official phone:** (909) 398-1550

## Contact information

- **Practice address:** 685 N 13TH AVE, SUITE 11, UPLAND, CA 91786-4916
- **Practice address phone:** (909) 623-8796
- **Practice address fax:** (909) 623-3076
- **Mailing address:** 840 TOWNE CENTER DR, POMONA, CA 91767-5900
- **Mailing address phone:** (909) 398-1550
- **Mailing address fax:** (909) 398-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 11/08/2016