Chaparral Medical Group Inc

LBN: Chaparral Medical Group Inc
Chaparral Medical Group Inc is an health care organization with primary practice located at 790 East Bonita Ave Chaparral Medical Group, Pomona CA 91767-1906. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Chaparral Medical Group Inc can be contacted via phone (909) 447-8585, or through Walke, Adrienne M via phone (909) 398-1550.

Contact Information

Primary practice address
790 East Bonita Ave Chaparral Medical Group Pomona CA 91767-1906
Phone: (909) 447-8585
Fax: (909) 447-8593
Website:
Map and Directions
Authorized official contact:
Name: Walke, Adrienne M
Phone: (909) 398-1550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1528020112
LBN Legal business name Chaparral Medical Group Inc
DBA Doing business as
Authorized official Walke, Adrienne M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528020112 NPPES
California MEDICAID GR0052955

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