Organization
CHAPARRAL MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE WALKER (CONTRACTS MANAGER)
(909) 398-1500
Entity
Organization
Contact information
Practice address
591 N 13TH AVE, SUITE 3, UPLAND, CA 91786-4967
(909) 985-5885
(909) 920-3379
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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