Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Other names
Southern California Center for Neuro Science and Spine,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIENNE WALKER (CONTRACTS MANAGER)
(909) 398-1550
Entity
Organization
Contact information
Practice address
401 E HIGHLAND AVE, SUITE 553, SAN BERNARDINO, CA 92404-3803
(909) 881-6713
(909) 883-7235
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/13/2008
Last updated
02/25/2008
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