Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE WALKER (CONTRACTS MANAGER)
(909) 398-1550
Entity
Organization
Contact information
Practice address
1900 ROYALTY DR, SUITE # 205, POMONA, CA 91767-3032
(909) 622-1963
(909) 622-1995
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
CA
207RC0000X
Cardiovascular Disease Physician
—
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
CA
207RG0100X
Gastroenterology Physician
Primary
—
CA
207RI0008X
Hepatology Physician
—
CA
Other
Enumeration date
02/13/2013
Last updated
08/28/2013
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