# CHAPARRAL MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1629383740
- **Authorized official:** ADRIENNE WALKER (CONTRACTS MANAGER)
- **Authorized official phone:** (909) 398-1550

## Contact information

- **Practice address:** 1818 N ORANGE GROVE AVE, SUITE 302, POMONA, CA 91767-3028
- **Practice address phone:** (909) 629-6200
- **Practice address fax:** (909) 865-2700
- **Mailing address:** 840 TOWNE CENTER DR, POMONA, CA 91767-5900
- **Mailing address phone:** (909) 398-1550
- **Mailing address fax:** (909) 398-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A85637 | CA | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 06/14/2011