| Chaparral Medical Group Inc | |
|
430 West Baseline Rd Claremont CA 91711-1696 | |
| (909) 621-3916 | |
| (909) 625-0903 |
| Full Name | Chaparral Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 430 West Baseline Rd, Claremont, California |
| Authorized Official Name and Position | Adrienne M Walker (CONTRACTS ADMINISTRATOR) |
| Authorized Official Contact | 9093981550 |
| 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 430 West Baseline Rd Claremont CA 91711-1696 Ph: (909) 621-3916 |
| NPI Number | 1962464529 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962464529 | NPI | - | NPPES |
| GR0052953 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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