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
1818 N ORANGE GROVE AVE, SUITE 302, POMONA, CA 91767-3028
(909) 629-6200
(909) 865-2700
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A85637
CA
Other
Enumeration date
08/12/2010
Last updated
06/14/2011
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