Organization
CHAPARRAL 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
585 N MOUNTAIN AVE, SUITE C, UPLAND, CA 91786-8516
(909) 981-8599
(909) 981-5441
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
11/11/2010
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