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
297 W ARTESIA ST, SUITE A, POMONA, CA 91768-1808
(909) 623-1503
(909) 623-8061
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C40547
CA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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