Organization
CHAPARRAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUL KARTHIK BALARAMALINGAM (CREDENTIALING MANAGER)
(909) 398-1550
Entity
Organization
Contact information
Practice address
138 HARVARD AVE, CLAREMONT, CA 91711-4716
(909) 624-4503
(909) 624-6364
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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