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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
160 E ARTESIA ST, SUITE # 220, POMONA, CA 91767-2900
(909) 865-1020
(909) 865-1202
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
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR005295E
CA
Enumeration date
04/05/2006
Last updated
10/22/2014
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