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Contact Information

CHAPARRAL SPECIALTY MEDICAL GROUP, INC.
1904 N ORANGE GROVE AVE
POMONA, CA91767-3008
 Phone: 909-469-1823
 Fax: 909-469-1827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHAPARRAL SPECIALTY MEDICAL GROUP, INC.

NPI # 1366864654
LBN Legal business name CHAPARRAL SPECIALTY MEDICAL GROUP, INC.
Authorized official ADRIENNE WALKER - (CONTRACTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2014
Last updated 08/11/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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