Organization
CHAPARRAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIENNE M WALKER (CONTRACTS ADMINISTRATOR)
(909) 398-1550
Entity
Organization
Contact information
Practice address
1330 EAST SAN BERNARDINO RD, STE L, UPLAND, CA 91786-4980
(909) 931-0228
(909) 931-0145
Mailing address
840 TOWNE CENTER DR, ADMINISTRATIVE RESOURCES, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052952
—
CA
Enumeration date
04/06/2006
Last updated
10/10/2007
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