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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
430 WEST BASELINE RD, CLAREMONT, CA 91711-1696
(909) 621-3916
(909) 625-0903
Mailing address
840 TOWNE CENTER DR, ADMINISTRATIVE RESOURCES, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0052953
CA
Enumeration date
04/06/2006
Last updated
10/04/2007
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