Organization
CHAPARRAL SPECIALTY 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
1904 N ORANGE GROVE AVE, POMONA, CA 91767-3008
(909) 469-1823
(909) 469-1827
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
CA
207RP1001X
Pulmonary Disease Physician
—
CA
Other
Enumeration date
01/06/2014
Last updated
08/11/2014
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