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
16465 SIERRA LAKES PARKWAY, SUITE 250 CHAPARRAL MEDICAL GROUP INC, FONTANA, CA 92336-1242
(909) 770-8640
(909) 770-8650
Mailing address
840 TOWNE CENTER DRIVE, CHAPARRAL MEDICAL GROUP INC, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR005295F
—
CA
Enumeration date
01/03/2007
Last updated
10/10/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us