Chaparral Medical Group Inc | |
630 North 13th Ave Suite B Upland CA 91786-4956 | |
(909) 982-2719 | |
(909) 946-9931 |
Full Name | Chaparral Medical Group Inc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 630 North 13th Ave, Upland, California |
Authorized Official Name and Position | Adrienne M Walker (CONTRACTS ADMINISTRATOR) |
Authorized Official Contact | 9093951550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chaparral Medical Group Inc 840 Towne Center Dr Administrative Resources Pomona CA 91767-5900 Ph: (909) 398-1550 | Chaparral Medical Group Inc 630 North 13th Ave Suite B Upland CA 91786-4956 Ph: (909) 982-2719 |
NPI Number | 1386607950 |
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Provider Enumeration Date | 04/06/2006 |
Last Update Date | 10/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386607950 | NPI | - | NPPES |
GR005295A | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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