Chaparral Medical Group Inc

LBN: Chaparral Medical Group Inc
Chaparral Medical Group Inc is an health care organization with primary practice located at 630 North 13Th Ave Suite B, Upland CA 91786-4956. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Chaparral Medical Group Inc can be contacted via phone (909) 982-2719, or through Walker, Adrienne M via phone (909) 395-1550.

Contact Information

Primary practice address
630 North 13Th Ave Suite B Upland CA 91786-4956
Phone: (909) 982-2719
Fax: (909) 946-9931
Website:
Map and Directions
Authorized official contact:
Name: Walker, Adrienne M
Phone: (909) 395-1550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1386607950
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 6th, 2006
Last updated Oct 19th, 2007 - about 18 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 1386607950 NPPES
California MEDICAID GR005295A

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