Organization · NPI-2

Chaparral Medical Group INC

Family Medicine · Pomona, CA

NPI number1528020112
StatusActive
Last updated in NPPESApr 8, 2025

Details

NPI
1528020112
Entity type
Organization (NPI-2)
Legal business name
Chaparral Medical Group INC
Organization subpart
No
Enumeration date
Apr 6, 2006
Certification date
Apr 8, 2025
Last updated
Apr 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism––
207RR0500X Internal Medicine, Rheumatology––
208000000X Pediatrics––
208600000X Surgery––

Practice location

790 East Bonita Ave
Chaparral Medical Group
Pomona, CA 91767-1906

Phone 909-447-8585 · Fax 909-447-8593

Mailing address

840 Towne Center Dr
Administrative Resources
Pomona, CA 91767-5900

Phone 909-398-1550 · Fax 909-398-1573

Authorized official

Lauren Arroyo
Credentialing Coordinator
9093981550

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