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
138 HARVARD AVE, CHAPARRAL MEDICAL GROUP, CLAREMONT, CA 91711-4716
(909) 624-4503
(909) 624-6364
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
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052951
—
CA
Enumeration date
04/06/2006
Last updated
04/18/2022
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