Chaparral Medical Group Inc

LBN: Chaparral Medical Group Inc
Chaparral Medical Group Inc is an health care organization with primary practice located at 585 North Mountain Ave Suite A, Upland CA 91786-8516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Chaparral Medical Group Inc can be contacted via phone (909) 946-2228, or through Walker, Adrienne M via phone (909) 398-1550.

Contact Information

Primary practice address
585 North Mountain Ave Suite A Upland CA 91786-8516
Phone: (909) 946-2228
Fax: (909) 946-8007
Website:
Map and Directions
Authorized official contact:
Name: Walker, Adrienne M
Phone: (909) 398-1550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1205898335
LBN Legal business name Chaparral Medical Group Inc
DBA Doing business as
Authorized official Walker, Adrienne M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Oct 17th, 2007 - about 17 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 1205898335 NPPES
California MEDICAID GR005295D

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